Whether a wound can close itself depends on whether epithelial cells survived in the dermal appendages; whether it will close depends on perfusion, protein and glucose. Build a wound note complete enough that a nurse who has never seen this wound can tell next week whether it is improving — then walk the same wound along the healing timeline and find the barrier that is holding it open.
Bed 9 · 0900 dressing changeAssess after cleansing, not before — old exudate on a removed dressing smells like infection even when the bed is clean. Fill in every element below. The panel on the right assembles your note and scores it against the eight things the record must contain.
Location and measurements
Undermining and tunnelling — 12 o’clock is toward the head
Wound bed — percentages must total 100
Granulation0%
Slough0%
Eschar0%
Exudate, edges and periwound
Same wound, laterDrag the day. Healing runs in four overlapping phases, and each phase has a normal appearance that students mistake for infection and an abnormal appearance that students miss. Then tap a barrier to see the nursing action that removes it.