For example, you might use words like jagged, red, puffy, or oozing to describe the wound.
You might measure this distance as 8 centimeters, for example.
For example, the depth of the wound might be 2 centimeters.
You might measure the undermining as 3 centimeters, for example.
For example, you might measure the undermining as 2 centimeters.
You will also need to note the measurements of undermining and tunneling, if any, after you record L x W x D. Wounds grow and heal at different speeds. You may only see changes every 2-4 weeks. If you notice movement before that, go ahead and perform your measurements and recordings.
Odor Color Drainage Appearance of the skin around the wound Signs of infection, such as redness, warmth, or swelling Pain level (as reported by the patient)
You will still need to measure depth directly. Insert a cotton-tipped applicator into the wound. With a ruler, measure from point of entry to the bottom of the applicator. Attach the adhesive sheet to the patient’s chart of medical records.