Wound Care

Body Systems › Wound Care
Wounds overview

Wound Care

Wound assessment, management, and healing conditions, evidence, and nursing diagnoses.

Conditions

Major wounds conditions

Select a condition
Wounds 6 sections

Wound Assessment

Systematic wound assessment: location, size (L×W×D), tissue type (granulation/slough/necrotic/eschar), wound edges, exudate (type/amount), peri-wound skin, pain. TIME framework: Tissue, Infection/Inflammation, Moisture, Edge.

wound assessment wound evaluation wound measurement
Overview ICD-10 Evidence Trials Tests Meds
Open condition →
Wounds 6 sections

NPWT/VAC

NPWT (VAC therapy) applies sub-atmospheric pressure (-75 to -125 mmHg) to wounds to promote granulation, reduce edema, remove exudate, and bring wound edges together. Contraindicated with necrotic tissue, untreated infection, exposed vessels/nerves.

NPWT VAC therapy wound VAC
Overview ICD-10 Evidence Trials Tests Meds
Open condition →
Wounds 6 sections

Wound Infection

Wound infection continuum: contamination → colonization → critical colonization → infection. NERDS (Non-healing, Exudate, Red friable tissue, Debris, Smell) for superficial infection. STONEES for deep infection.

wound infection infected wound surgical site infection
Overview ICD-10 Evidence Trials Tests Meds
Open condition →
Nursing diagnoses & care plans

Related nursing diagnoses

Related tool
NANDA Care plans

Nursing Diagnoses & Care Plans

Open the NANDA tool to review nursing diagnoses and care-plan concepts related to wounds conditions.

Open NANDA tool →