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
- Assess and reconcile all medications. Instruct in purpose, route, frequency, side effects.
- Fully assess wound at SOC and all subsequent visits. Compare to baseline status at every visit.
- Assess wound in the context of comorbidities. Instruct pt/caregiver(s) on wound healing, including effect of comorbid conditions. Instruct patient/caregivers all aspects of assessment including s/s infection, size, all aspects of drainage, changes in wound bed, slough/eschar, periwound for skin integrity, wound edges.
- Photograph wound at first or second visit and send to CWCN for consult.
- Provide wound care as ordered and instruct patient/caregiver, as appropriate, on wound care procedure per agency protocol and physician order.
- Evaluate ability to perform wound care independently. Teach and observe return demonstration, including all aspects of infection control. Continue to observe until patient/caregiver are safe in performing all aspects of wound care safety.
- Instruct on wound healing diet, including foods high in protein and Vitamin C.
PATIENT/CAREGIVER OUTCOMES (V) VERBALIZES (D) DEMONSTRATE
- Knowledge of reasons to take medications as ordered with understanding of route, frequency, purpose and side effects, as appropriate. (V)
- Knowledge of three (3) s/s infection and methods to prevent. (V)
- Provides safe wound care following proper technique. (D)
- Knowledge of wound deterioration and when to call CHN or MD based on wound bed, drainage, periwound, and other. (V)
- Knowledge of three (3) foods high in protein. (V)
- Knowledge of three (3) foods high in Vitamin C. (V)
- Knowledgeable regarding any comorbidities that will impact wound healing. (V)