HHC Health & Home Care Clinical Policy And

HHC HEALTH & HOME CARE Section: 7-6
Skin Care: Pressure Ulcer - Treatment of Stage IV __RN
EQUIPMENT:
(See Wound Cleansing, Wound Irrigation, Transparent
Film Application, and Dressing Changes.
PROCEDURE:
1. Follow manufacturer’s guidelines on all products
used for debriding.
2. (See Wound Cleansing, No. 7.07, Wound Irrigation,
No. 7.12, Transparent Film Application, No. 7.16
and Dressing Changes, No. 7.09.)
AFTER CARE:
1. Document in patient’s record:
a. Procedure.
b. Patient’s response to procedure.
c. The condition of the patient according to the
assessment procedure for pressure ulcers.
2. Instruct the patient/caregiver in:
a. Care of the pressure ulcer.
b. Pressure reduction techniques. (See Pressure
Ulcer-Prevention, No. 7.01.)
c. Reporting signs and symptoms of infection and
other areas of breakdown.
d. Diet to promote healing.
e. Medications/disease processes that may be
impeding healing.
f. Activities permitted.
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