Lessons
- Wound Assessment & Documentation
- Objectives
- Assessment & Documentation in QsmartCare (QSC)
- Assessment
- Assessment Tools
- Assessment
- QSC Documentation Braden Scale
- ASSESSMENT
- Who are the “at-risk” residents?
- Who are the “at-risk” residents?
- There’s a lot to assess
- Location, Location, Location
- Assessing the Location
- Locations, Sides & Planes in QSC©
- Assess Etiology of Wounds
- Assessing the Wound Bed: Granulation Tissue
- Assessing the Stage
- Charting the Stage of a wound in QSC©
- Assess the Wound Bed
- Assessing the Wound Bed: Necrotic Tissue
- Assessing the Wound Bed: Granulation Tissue
- Let’s look at this another way
- Assessing the Wound Bed: Granulation Tissue
- Assessing the Wound Bed: Granulation Tissue
- Assessing the Wound Bed: Necrotic Tissue
- Slough vs. Fibrin & Biofilm
- Assessing the Wound Bed: Necrotic Tissue
- Charting necrosis, devitalized tissue and fibrin in QSC©
- ASSESS THE PERIWOUND
- ASSESS THE PERIWOUND:Periwound Descriptions
- Assessing the periwound:Periwound Descriptions
- Assessing the periwound:Periwound Descriptions
- Assessing the periwound
- Charting in QSC©
- Measuring a wound – your tools
- Measuring a wound – L x W x D plus undermining
- Measuring a wound
- Charting in QSC©
- ASSESSING THE WOUND VOLUME
- KNOW YOU EXUDATE
- ASSESSING THE EXUDATE
- Assessing the EXUDATE
- Assessing the EXUDATE
- Assessing Pain
- Assessing Pain
- Types of Pain
- Assessing Types of Pain
- Assessing Types of Pain
- PAIN ASSESSMENT TOOLS
- Charting in QSC©
- IN SUMMARY
- If it is NOT DOCUMENTED… it has NOT been DONE (period)
- Your documentation
- Compassion and Empathy
- Thank You!
- References
- References continued
- References Continued