Patients and caregivers should be brought into the wound team at the time of assessment. In many cases, the patient or a family member or other caregiver will be required to monitor the skin and wound. A simple, 10-point observation tool , such as the one provided in Figure 3.52 can be used to educate them about self assessment of their skin and wounds.
CONCLUSION
Assessment begins with looking at the whole patient and determining comorbidities and other factors that will predict the healing response. Wound classifi cation systems are used to identify wound severity by the depth of tissue impairment, leading to an impairment fi nding of impaired skin integrity (if the dermis is not penetrated) or impaired tissue integrity (if the wound extends through the dermis and deeper). Wound heal- ing assessment by physiologic wound healing phase includes
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REVIEW QUESTIONS
1. Intrinsic factors that can affect wound healing include all of the following except
A. age
B. immunosuppression C. confusion
2. Which of the medications following characteristics of pe- ripheral neuropathy is correct?
A. Sensory neuropathy involves symptoms of paresthesia and coolness.
B. Motor neuropathy involves muscle imbalance and deformities.
C. Autonomic neuropathy involves improved function of sebaceous glands.
D. None of the above.
3. When assessing darkly pigmented skin consider
A. color changes over bony prominences B. the type of lighting
C. conditions that may cause color changes D. all of the above
4. The NPUAP staging system is commonly used to A. assess all wound types
B. describe wound severity C. guarantee reimbursement D. describe pressure ulcer severity
5. Poor vascular supply, desiccation, hemorrhage, and hyper- granulation are factors that can contribute to
A. chronic proliferation B. chronic infl ammation C. infection
D. all of the above
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CHAPTER OBJECTIVES