Wound Care

Skin Assessment and Documentation 351
• The clinical provider requires assistance in managing a particularly
challenging wound, patient, caregiver, and situation.
— CWOCN/ET/CNS
Wound care is not effective in expected time period.
Products are not efficacious, too difficult for patient or
caregiver to manage, too expensive, or not available.
Required wound care can only be provided by CWOCN
as in the case of conservative or sharp debridement.
Questions concerning type and amount of pressure
reduction devices.
— MSW: to evaluate the patient or caregiver who is unwilling
or unable to participate in the wound care as developed
in the POC.
Request the MSW to determine if there are any psychological
or sociological reasons for this inability or
unwillingness.
Request the MSW to assist in developing a POC for all
other providers to reach the expected and planned for
outcomes. This includes a plan to manage health and
other patient/caregiver behaviors.
Request MSW to assist when there are financial concerns
of the patient or caregiver relative to the POC such
as the ability to pay copayments.
— Occupational Therapist (OT)
Whenever there is a question about the patient or caregiver’s
potential for self-care of the wound or independence
in other activities of daily living (ADLs).
When there are questions concerning the amount of
energy conservation needed in a specific situation.
When there are questions concerning adaptive equipment
to further the patient’s independence.
— Physical Therapy (PT)
Whenever there are questions concerning the patient's
mobility and independent function relative to mobility.