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Wound, Ostomy or Continence Advanced Practice Portfolio Handbook WON is accredited by the Accreditation Board for Specialty Nursing Certification (AB SNC×, formerly the ABCs Accreditation Council,

How to fill out wound ostomy or continence

How to fill out wound ostomy or continence:

1. Gather the necessary supplies: Before starting, make sure you have all the required supplies, such as clean gloves, sterile dressings, adhesive strips, and any prescribed medications.
2. Cleanse the wound area: Start by washing your hands thoroughly with soap and water. Then, put on clean gloves and gently clean the wound area with mild soap and warm water or a prescribed wound cleanser. Be sure to remove any dirt, debris, or previous dressing.
3. Assess the wound: Carefully examine the wound, noting its size, depth, and any signs of infection or inflammation. If necessary, take measurements or document any specific characteristics for future reference.
4. Choose the appropriate dressing: Based on the wound's characteristics and healthcare professional recommendations, select the appropriate type of dressing. This may include gauze, foam, hydrocolloid, or transparent films. Ensure the dressing is sterile and properly sized to cover the wound adequately.
5. Apply the dressing: Follow the instructions provided with the specific dressing chosen. Generally, center the dressing over the wound and secure it using adhesive strips, a bandage, or a self-adhesive border. Make sure the dressing is applied snugly but not too tightly to avoid impairing blood circulation.
6. Secure the ostomy or continence devices: If managing an ostomy or continence condition, follow the instructions provided by your healthcare professional and manufacturers to properly secure the required devices. This may involve applying flanges, pouching systems, or specialized adhesive tapes.
7. Dispose of waste and clean up: Once the dressing or devices are applied, remove and discard any used materials in an appropriate waste container. Clean the surrounding area, ensuring it is free of any potential contaminants or spills.
8. Monitor and maintain: Regularly inspect the wound or ostomy site according to healthcare professional recommendations. Replace dressings as needed, keeping the area clean and dry. Follow any prescribed treatments or medications to promote healing and manage symptoms.

Who needs wound ostomy or continence?

1. Individuals with surgical wounds: Those who have undergone surgical procedures may require wound ostomy or continence care if incisions or surgical sites need specific attention, such as post-operative wound care or management of temporary or permanent stomas.
2. Patients with chronic wounds or ulcers: Individuals with chronic conditions, such as diabetic foot ulcers, pressure ulcers, or venous stasis ulcers, may require wound ostomy or continence care to promote healing and prevent complications.
3. People with ostomies: Those who have had surgical procedures resulting in ostomies, such as colostomies, ileostomies, or urostomies, will need wound ostomy and continence care to manage and maintain the stoma and the surrounding skin.
4. Individuals with continence issues: People experiencing urinary or fecal incontinence may require wound ostomy and continence care to help manage and control these conditions, improving their quality of life.
5. Individuals with traumatic injuries: People who have suffered traumatic injuries, such as burns, lacerations, or puncture wounds, may need wound ostomy or continence care during the healing process to prevent infection, ensure proper healing, and reduce pain and discomfort.

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