Wound Assessment in 60 seconds
Use the acronym CLOSE UPP
Color use percentage to describe the amount of slough, granulation tissue, etc)
Location where is it? right side, left side, midline?
Odor what smells do you notice?
Size measure largest points for length, width, and depth
Edema / exudate swelling and oozing (serous, serosang, sang, purulent) note amount and color, and mark edges of edema with a pen
Undermining / tunneling check to see if there is more wound than you can see
Periwound area is it healthy and intact, indurated (hard), macerated (moist and white), edematous
Pain _ don't forget a pain assessment (PQRSTU), and do a pain scale pre, during and after procedure to identify changes
Nursing students, nurses, and other health care professionals must gather this data when completing any wound assessment to document changes over time and to capture a would that is not healing faster to prevent serious and potentially permanent changes.
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