National best practice and evidence based guidelines for wound ...

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N at i o N a l b e s t p r ac t i c e a N d e v i d e N c e b a s e d g u i d e l i N e s f o r w o u N d m a N ag e m e N t 66 Appendix 2: Wound Assessment Forms from AMNCH Tallaght (continued) Treatment Objective Type of cleansing solution Treatment of surrounding skin Type of primary dressing Type of secondary dressing Method of securing dressing Type of compression therapy Frequency of dressing change Patient Education Removal of: Sutures / Staples Steristrips Signature: Ward: THE ADELAIDE & MEATH HOSPITAL, DUBLIN INCORPORATING THE NATIONAL CHILDREN’S HOSPITAL DATE WOUND MANAGEMENT PROGRAMME Only re-write if plan changes OUTCOME: Wound healed ■ Discharged ■ Did not continue to attend ■ Surname: ................................................................................ Forenames: ............................................................................. Address: .................................................................................. ................................................................................................ Hospital No.: ................................ D.O.B.: .......................... Consultant: ............................................................................. DATE DATE DATE DATE FOLLOW-UP REFERRAL: G.P. ■ P. H.N. ■ OPD ■ A & E ■ Day Hosp. ■ Other ■ Signature: ........................................................................................................ Date: .................................................................................................................
Date Time THE ADELAIDE & MEATH HOSPITAL, DUBLIN INCORPORATING THE NATIONAL CHILDREN’S HOSPITAL NURSING NOTES Surname: ................................................................................ Forenames: ............................................................................. Address: .................................................................................. ................................................................................................ Hospital No.: ................................ D.O.B.: .......................... Consultant: ............................................................................. Signature RGN Signature Student Nurse 67
Page 1 and 2:
National best practice and evidence
Page 3 and 4:
Foreword The development of HSE nat
Page 5 and 6:
The management of diabetic foot dis
Page 7 and 8:
These guidelines have been endorsed
Page 9 and 10:
Section 3 - Clinical Guidelines 25-
Page 11 and 12:
Section 4 References and Appendices
Page 13 and 14:
SECTION 1: Background and Justifica
Page 15 and 16:
anked operations of the skin and su
Page 17 and 18: The number of adults diagnosed with
Page 19 and 20: On Society The loss to society due
Page 21 and 22: 1.3 Terms of Reference ● To ensur
Page 23 and 24: SECTION 2: Methodology 21
Page 25 and 26: 2.2 Outline of the grading method u
Page 27 and 28: SECTION 3: Clinical Guidelines 25
Page 29 and 30: 3.2 Principles of Wound Management
Page 31 and 32: Wound Dressings ● The integrity o
Page 33 and 34: ● Removal of devitalised tissue c
Page 35 and 36: 3.4 Guidelines for management of ar
Page 37 and 38: 3.5 Guidelines for the prevention a
Page 39 and 40: Table 10: Patient Education Inspect
Page 41 and 42: Evaluation ● If one or more pedal
Page 43 and 44: ● Alteration in skin condition in
Page 45 and 46: 3.7 Repositioning for the Preventio
Page 47 and 48: 3.8 Support Surfaces General Statem
Page 49 and 50: SECTION 4: References and Appendice
Page 51 and 52: Graham, I.D., Harrison, M.B., Nelso
Page 53 and 54: Appendices 1. Glossary of Terms 2.
Page 55 and 56: ● Bulla/Bullae: Another term for
Page 57 and 58: ● Granulation: During the prolife
Page 59 and 60: ● Periwound: The area immediately
Page 61 and 62: Appendix 2: Examples of Wound Asses
Page 63 and 64: date odour None on dressing change
Page 65 and 66: Anatomical chart Please mark the ar
Page 67: Date WOUND DIMENSIONS Max. length m
Page 71 and 72: BRADEN SCALE FOR PREDICTING PRESSUR
Page 73 and 74: I need permission for: Name: Title:
Page 75 and 76: BAPEN 'Malnutrition Universal Scree
Page 77 and 78: BAPEN Weight before weight loss (kg
Page 79 and 80: BAPEN Advancing Clinical Nutrition
Page 81 and 82: AUDIT TOOL for NATIONAL WOUND MANAG
Page 83 and 84: Objective Statement 4 identify shor
Page 85 and 86: Objective Statement 10 identify sho
Page 87 and 88: Treatment Statement 16 in persons a
Page 89 and 90: Objectives Statement 23 the use of
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