Chronic Wound Patient Assessment

Welcome to your Chronic Wound Patient Assessment

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What is the first step in assessing a chronic wound?

Measuring wound dimensions

Taking a wound culture

Assessing patient history and comorbidities

Initiating antibiotic therapy

Which wound characteristic is critical to document in a chronic wound assessment?

Wound depth only

Presence of odor

Wound size, depth, exudate, and surrounding tissue

Only the amount of exudate

What tool is used to assess the severity of diabetic foot ulcers?

Braden Scale

Wagner Classification System

CEAP Classification System

Norton Scale

Which systemic factor is most likely to impair wound healing?

High blood pressure

Peripheral arterial disease

Hyperthyroidism

Recent vaccination

What is the purpose of wound debridement in chronic wound management?

To dry the wound

To reduce pain

To remove necrotic tissue and promote healing

To prevent scarring

What does increased wound exudate most likely indicate?

Wound is healing normally

Increased oxygenation in the wound bed

Presence of infection or inflammation

Reduced bacterial load

List five key components of a comprehensive chronic wound assessment.

Explain why assessing comorbidities is essential in chronic wound management.

Describe the difference between arterial and venous ulcers in terms of location and appearance.

How does infection in a chronic wound present clinically?

What role does nutritional assessment play in the treatment of chronic wounds?

Case 1 Scenario: A 63-year-old diabetic patient presents with a chronic ulcer on the plantar surface of the foot. The wound has been present for two months and has a foul odor, moderate exudate, and some necrotic tissue. Tasks: What key assessments would you perform for this patient? How would you classify this wound? Outline a management plan, including wound care and infection control.

Case 2 Scenario: A 75-year-old patient with peripheral vascular disease presents with a non- healing ulcer on the lateral ankle. The wound is shallow with minimal exudate, but the surrounding skin appears shiny, pale, and hairless. Tasks: What type of ulcer is this, and how did you identify it? What further diagnostic tests would you consider? Develop a treatment plan, including wound care and systemic interventions.

Chronic Wound Patient Assessment

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