Web25 Jun 2014 · Tunneling can occur in any wound, but it occurs most commonly in surgical wounds and wounds occurring from a neuropathic cause. Undermining Wounds. Undermining is caused by erosion under the wound edges, resulting in a large wound with a small opening. Much like an iceberg, what you see on the surface is not indicative of what … WebAttached = even or flush with wound base, no sides or walls present; flat. Not attached = sides or walls are present; floor or base of wound is deeper than edge. Rolled under, …
What is attached wound edges? – KnowledgeBurrow.com
WebThe area may be preceded by tissue that is painful, firm, mushy, boggy, warmer or cooler as compared to adjacent tissue. Further description: Deep tissue injury may be difficult to … WebWound Edges. Epithelialisation (i.e. clearly defined attached edges) Indistinct / Diffuse, Macerated (i.e. moist, wet, soggy) Rolled edge; Raised edge; Tracking, tunnelling or sinus … mayfair homecare uk
Reference for Wound Documentation
Web5 Sep 2024 · Edges: Use this guide: Indistinct, diffuse = unable to clearly distinguish wound outline. Attached = even or flush with wound base, no sides or walls present; flat. Not attached = sides or walls are present; floor or base of wound is deeper than edge. Rolled under, thickened = soft to firm and flexible to touch. Web31 Jan 2024 · Quality of wound edges and the periwound area (maceration, epibole, shape) Pre- and post-debridement wound status, to validate effectiveness; Using Photos to Create a Timeline of Wound Healing. Photos are a good way to create a timeline and can help identify issues. For example, if a patient under your care with a stage 2 pressure injury is ... Web• Wound Edges: Defined/undefined, attached/unattached, epibole (rolled under), macerated, fibrotic, calloused. • Surrounding Tissue: Color, edema, firmness, texture, rash, maceration, induration, intact, etc. Odor:Present or none. If odor is present, describe: strong, foul, pungent, fecal, musty, sweet, etc. may fair hotel