Preparing the Patient for Wound Care (Part 1)
In this series we're going to breakdown the main techniques to comfort patients when preparing for wound care treatment.
I. Preparing the Patient for Wound Care
Transfers (tools needed for safe transfer)
Chair to chair: gait, belt, slide board, asissted pivot, dependent pivot.
Chair to bed: gait belt, slide board, asissted pivot, dependent pivot.
Bed to stretcher: draw sheet, full-length slide board
Bed to chair: gait belt, slide board, assisted or dependent pivot
Considerations for individual patient conditions and mobilty issues should be addressed (i.e., contractures, amputations, hemiparesis, or paraplegia)
Positioning to achieve comfort and protection of patient
Allows for the best wound care
Considerations should be taken for the patient's size, mobility, and wound site.
What works best for the patient and the provider?
Treatment environments: instruments, supplies, and dressings should be readily available.
Area should be clean and private with a relaxed atmosphere.
C. Pain Scales
Visual analog scale (VAS)
Scale: 0 =. no pain, 1 - 3 = mild pain, 4 - 7 = moderate pain, 8 - 10 = severe pain
Numeric pain intensity scale
Scale is 0 - 10; 0 = no pain; 1 - 3 = mild; 4 - 6 = moderate; 7 - 9 = severe, 10 = worst possible pain
Wong-Baker FACES Pain Rating Scale (for pediatric patients and patients with limited understanding)
Happy face (no pain) to crying face (worst pain)
Most reliable source: patient's self-report of pain existence and intensity
Monitor for signs of pain in nonverbal patients: increased agitation, crying, grimacing acting out, pacing
by Jayesh B. Shah, MD, Paul J Sheffield, PhD, Caroline E. Fife, MD Wound Care Certification Study Guide, Second Edition
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