Chronic Wound Care in Skokie, Illinois

Wound Patient Education Tools in Patients Primary Language:
Assessment and Planning
First visit and ongoing:
Assess for other discipline: PT, OT, Speech, SW and HHA. If needed:

• Obtain approval from D.O.N
• Speak with MD, obtain verbal orders; write and send Interim Orders.
• Request in managed care report.

Reassess d/c plan at every visit
If further visits needed- at least 1 week prior to planned D/C date:

• Obtain approval from D.O.N
• Speak with MD, obtain verbal orders, write and send interim orders.
• Write managed care report 1 week prior to any change.

INTERVENTIONS TO OCCUR DURING CARE PERIOD

1. Assess and reconcile all medications. Instruct in purpose, route, frequency, side effects.
2. Assess wound for size, presence of tunneling, undermining, color, granulation, epithelialization, exudates (amounts/type), odor, pain, condition of surrounding skin, presence of callous.
3. Assess wound for s/s of infection; erythema, edema, indurations, warmth, etc.
4. Instruct on s/s of infection and methods to prevent infection.
5. Assess for risk of pressure ulcers using Braden Scale. If risk identified, institute all procedures to decrease risk of pressure ulcers including off loading, safe turning and positioning, incontinence management and obtaining support surface, if appropriate.
6. Instruct to monitor skin on extremities for trauma and impaired integrity and actions to take.
7. Instruct on wound care procedure per agency protocol and physician order.
8. Evaluate ability to perform wound care independently, effectiveness of wound care, treatment, preventive measures.
9. Instruct on effects of physical activity on disease process.
10. Instruct foods high in Vitamin C and protein.
11. Instruct on importance of avoiding trauma to healing wounds or newly epithelialized wounds.
12. Evaluate compliance with measures to prevent trauma to affected areas.

PATIENT/CAREGIVER OUTCOMES (V) VERBALIZE (D) DEMONSTRATES

1. Knowledge of reasons to take medications as ordered with understanding of route, frequency, purpose and side effects, as appropriate. (V)
2. Wound(s) free of s/s infection or complications. (D)
3. Three (3) S/S of infection and methods to prevent. (V)
4. Knowledge of treatment plan. (V)
5. Compliance with measures to support circulation. (D)
6. Willingness to learn dressing change procedure. (V)
7. Independence in care of wound using proper technique. (D)
8. Compliance with skin care measures. (D)
9. Moisture/incontinence management. (V)
10. Compliance with turning/repositioning schedule. (D)
11. Compliance with pressure, friction, and shear relief measures. (D)
12. Knowledge of nutrition needed to support healing. (V)
13. Compliance with measures to prevent trauma to affected areas. (V)