Lesson 1Systematic skin inspection: techniques, lighting, documentation, and frequencyDis section outline a head-to-toe skin inspection process fi hospitalized adults, emphasizin positionin, lightin, privacy, an chaperones, an describe how fi document findins, set inspection frequency, an communicate risks cross di care team.
Preparin di environment an equipmentInspection techniques an patient positioninUse a lightin an palpation skillsHigh-risk anatomical sites fi prioritizeDocumentation an inspection frequencyLesson 2Infection signs and systemic indicators: erythema, increased pain, warmth, purulent drainage, fever, lab markers (WBC, CRP)Dis section review local an systemic signs a wound infection, differentiate colonization from invasive infection, an explain how fi interpret erythema, pain, warmth, drainage, fever, an key laboratory markers fi guide timely escalation an antimicrobial decisions.
Distinguishin colonization from infectionLocal signs: erythema, warmth, edemaPurulent drainage an odor changesSystemic signs: fever an malaiseInterpretin WBC, CRP, an culturesLesson 3Peri-wound skin evaluation: maceration, induration, erythema, callus, and skin integrityDis section address systematic evaluation a peri-wound skin, includin detection a maceration, erythema, induration, callus, an fragility, an link dese findins to moisture management, dressin selection, an early identification a pressure or adhesive-related damage.
Identifyin maceration an moisture damageRecognizin erythema an early inflammationAssessin induration an tissue firmnessCallus formation an pressure riskProtectin fragile an compromised skinLesson 4Photographic documentation and measurement tools: use of ruler, tracing, digital imaging best practices and consentDis section explain best practices fi wound photography an measurement, includin use a paper rulers, tracings, an digital tools, ensurin consistent technique, infection control, secure storage, an obtainin an documentin informed consent from patients.
Indications an goals a wound photographyObtainin an recordin informed consentUsin rulers an standardized positioninTracin methods an digital planimetryImage quality, lightin, an data securityLesson 5Pain assessment specific to wounds: scales, documentation, and impact on careDis section explain how fi assess wound-related pain usin validated scales, timin assessments wid procedures, documentin location an quality, an integratin findins into dressin selection, analgesia plans, an nonpharmacologic comfort strategies.
Selectin appropriate pain ratin scalesAssessin baseline an procedural painDocumentin pain location an qualityLinkin pain findins to dressin choicePharmacologic an non-drug interventionsLesson 6Exudate assessment: amount, color, consistency, odour, and how to measure and documentDis section detail how fi assess wound exudate, includin estimatin volume, describin color an consistency, recognizin odor changes, an usin standardized tools an language fi measure, record, an trend findins over time in di health record.
Classifyin exudate types an colorsEstimatin an gradin exudate volumeAssessin viscosity an tissue adherenceRecognizin an describin wound odorStandardized exudate documentation methodsLesson 7Assessment of contributing factors: mobility, incontinence, nutrition, comorbidities (diabetes, vascular disease), and medicationsDis section focus on identifyin patient factors dat impair healin, includin mobility limits, incontinence, nutritional deficits, vascular disease, diabetes, an medications, an show how fi integrate dese findins into individualized prevention an treatment plans.
Evaluatin mobility an repositionin needsScreenin fi urinary an fecal incontinenceNutritional risk an protein–calorie deficitsImpact a diabetes an vascular diseaseMedication review fi healin barriersLesson 8Wound assessment parameters: location, dimensions (L×W×D), depth, wound bed characteristics, edges, undermining, and tunnelingDis section cover core wound assessment parameters, includin precise location, linear an depth measurements, wound bed tissue types, edge characteristics, an identification a underminin an tunnelin, usin consistent methods fi support monitorin an care plannin.
Locatin an anatomically describin woundsMeasurin length, width, an depthDescribin wound bed tissue typesCharacterizin wound edges an marginsAssessin underminin an tunnelin
