Journal articlesStandardising wound care documentation in clinical practice

Standardising wound care documentation in clinical practice

01/03/13 | Education, Research, Wellbeing and concordance | Janine Shepard, Marnie Nixon

Standardising wound care documentation in clinical practice Across the UK, there is no standardised approach to wound assessment and documentation (Dowsett, 2009), or collection of wound healing rate data. Aim: This article outlines an initiative to improve the assessment and documentation of wound care in a community setting.Methods: The authors have devised a new package of wound care documentation, which incorporates a visual healing graph adapted from the National Pressure Ulcer Advisory Panel (NPUAP, 1998) Pressure Ulcer Score for Healing (PUSH) tool. This tool provides a standardised, evidence-based, visual approach to wound assessment and documentation. The new approach is named the Wound Healing Assessment and Management (WHAM) tool. Results: Use of the tool has demonstrated improvements in the quality of care that patients receive in relation to wound care and improvements in quality of life. Conclusion: The WHAM tool shapes holistic assessment,supports clinical judgement, ensuresregular evaluation, and initiates consistent, regulated practice.