Lesson 1Systematic skin inspection: techniques, lighting, documentation, and frequencyThis part describes a full head-to-toe skin check process for hospitalized adults, stressing proper positioning, good lighting, patient privacy, and helpers, and explains how to record findings, decide check frequency, and share risks with the care team.
Preparing the environment and equipmentInspection techniques and patient positioningUse of lighting and palpation skillsHigh-risk anatomical sites to prioritizeDocumentation and inspection frequencyLesson 2Infection signs and systemic indicators: erythema, increased pain, warmth, purulent drainage, fever, lab markers (WBC, CRP)This part examines local and body-wide signs of wound infection, separates harmless growth from serious invasion, and shows how to read redness, pain, warmth, discharge, fever, and important lab tests to decide on quick action and antibiotic use.
Distinguishing colonization from infectionLocal signs: erythema, warmth, edemaPurulent drainage and odor changesSystemic signs: fever and malaiseInterpreting WBC, CRP, and culturesLesson 3Peri-wound skin evaluation: maceration, induration, erythema, callus, and skin integrityThis part deals with thorough checking of skin around the wound, spotting softening from moisture, hardness, redness, thickened skin, and weakness, and connects these to handling wetness, choosing covers, and early spotting of pressure or tape damage.
Identifying maceration and moisture damageRecognizing erythema and early inflammationAssessing induration and tissue firmnessCallus formation and pressure riskProtecting fragile and compromised skinLesson 4Photographic documentation and measurement tools: use of ruler, tracing, digital imaging best practices and consentThis part covers best ways to take wound photos and measure, using paper rulers, outlines, and digital tools, ensuring steady methods, infection control, safe storage, and getting and recording patient agreement.
Indications and goals of wound photographyObtaining and recording informed consentUsing rulers and standardized positioningTracing methods and digital planimetryImage quality, lighting, and data securityLesson 5Pain assessment specific to wounds: scales, documentation, and impact on careThis part shows how to check wound pain using proven scales, timing checks with treatments, recording where and how it hurts, and using results to pick covers, pain relief plans, and non-drug comfort methods.
Selecting appropriate pain rating scalesAssessing baseline and procedural painDocumenting pain location and qualityLinking pain findings to dressing choicePharmacologic and non-drug interventionsLesson 6Exudate assessment: amount, color, consistency, odour, and how to measure and documentThis part explains checking wound fluid, estimating amount, describing color and thickness, noting smell changes, and using standard tools and words to measure, record, and track changes in health records over time.
Classifying exudate types and colorsEstimating and grading exudate volumeAssessing viscosity and tissue adherenceRecognizing and describing wound odorStandardized exudate documentation methodsLesson 7Assessment of contributing factors: mobility, incontinence, nutrition, comorbidities (diabetes, vascular disease), and medicationsThis part highlights spotting patient issues that slow healing, like limited movement, leakage, poor eating, blood vessel problems, diabetes, and drugs, and shows how to include these in personal prevention and treatment plans.
Evaluating mobility and repositioning needsScreening for urinary and fecal incontinenceNutritional risk and protein–calorie deficitsImpact of diabetes and vascular diseaseMedication review for healing barriersLesson 8Wound assessment parameters: location, dimensions (L×W×D), depth, wound bed characteristics, edges, undermining, and tunnelingThis part covers main wound check points, like exact spot, size and depth measures, bed tissue types, edge features, and spotting hidden damage or tunnels, using steady ways to aid tracking and care planning.
Locating and anatomically describing woundsMeasuring length, width, and depthDescribing wound bed tissue typesCharacterizing wound edges and marginsAssessing undermining and tunneling