Observe, document, record

When assessing a wound you need to observe, document and record:

How did the wound occur?

  • As a result of trauma? If so how? Could it have been prevented?
  • Is it a pressure related wound?
  • If it is a human or animal bite/injury or there is a possibility of a foreign object in the wound further advice will be needed.

How long has it been present?

  • If the wound has not healed is there an underlying health problem preventing healing?

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All content is © 2011 School of Nursing, Midiwifery and Physiotherapy, University of Nottingham, with the exception of the wound photographs which are copyright of Advancis Medical.