Wound Management: Right > Anterior Aspect > MLA
Patient Identifier :
190953VSEV
Hospital Identifier :
CHI
Name :
AITKEN, ALEXANDER
Date of Birth :
19/09/1953
Wound Details
Treatment Start Date:
/
/
Wound Number:
Condition
Wound Bed:
Epithelialising
Granulating
Sloughy
Necrotic
Surrounding Skin:
Normal
Fragile
Macerated
Callus
Erythematous
Odematous
Anhydrotic
Blistered
Debridement:
Please Select
Physical
Chemical
Larvae
No Debridement
Attributes
Exudate Volume:
Please Select
None
Light
Moderate
Heavy
Copious
Exudate Type:
Please Select
Serous
Sangiounous
Sero-sanguinous
Purulent
Frequency of Wound Related Pain:
Please Select
None
Intermittent
At Dressing
Continuous
Wound Pain Severity:
Please Select
Mild
Moderate
Severe
Unable To Evaluate
Odour:
Please Select
None
Only on Dressing Change
Extends Beyond the Ulcer
Infection:
Please Select
None
Local Infection
Cellulitis
Osteomyelitis
Measurement
Depth:
Please Select
Pre or Post Lesion
Superficial
To Tendon
Penetrating to Bone
Length:
cm
Width:
cm
Undermining:
Please Select
Yes
No
Photograph Taken:
Please Select
Yes
No
Texas Classification:
Dressings
Primary Dressing:
Please Select
Hydrogel
Hydrofibre
Hydrocellular
Alginate
Antimicrobial
Semi-permeable Film
Secondary Dressing:
Please Select
Hydrocellular Foam
Hydrocolloid
Semi-permeable Film
Bandage
Pressure Management:
Please Select
Own
Prescriptive Footwear
Trauma Shoe
Darco Boot
IPOS Boot - Forefoot
IPOS Boot - Rearfoot
Prafo Boot
Air Cast
Scotch Cast
Total Contact Cast
Other Pressure Management:
Other Information
Clinical Comments (Max Length = 1000 Characters). Characters entered so far =
Actions Taken:
None
Prescribe Antibiotics
Refer for Antibiotics
Refer for Plain X-Ray
Refer for Vascular Intervention
Refer for MRI Bone Scan
Refer to Orthotist
Refer for Hospital Podiatry
Refer to Primary Care Podiatry
Refer to Orthopaedic Surgeon
Refer for Surgical Debridement
Admit to Hospital
Swab Taken
Consultant :
Designation :
Next Appointment :
/
/
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