Get the free Lower Extremity Wound Pathway Referral Form - Pre - sasksurgery

REIMPLEMENTATION VERSION April 13, 2016, REFERRAL FORM LOWER EXTREMITY WOUND PATHWAY venous×arterial, neuropathic & diabetic foot wounds PATIENT INFORMATION Surname: Address: DOB: Age: Phone:(h)

How to fill out lower extremity wound pathway

How to fill out lower extremity wound pathway:

1. Gather the necessary information: Before filling out the lower extremity wound pathway, gather all relevant patient information, such as medical history, current medications, and any allergies.
2. Assess the wound: Carefully examine the lower extremity wound, noting its size, depth, location, and presence of any signs of infection or inflammation.
3. Document the wound characteristics: Fill out the lower extremity wound pathway by documenting the wound's characteristics, including its appearance, tissue types involved, exudate amount, odor, and any visible signs of necrosis.
4. Measure the wound: Use appropriate methods, such as ruler or tracing, to accurately measure the wound's length, width, and depth. Record these measurements in the pathway.
5. Evaluate the wound edges: Assess the integrity and condition of the wound edges, noting if they are undermined, macerated, or showing signs of healing or epithelialization.
6. Determine wound bed condition: Observe the wound bed for presence of slough, eschar, granulation tissue, or epithelial tissue, and document accordingly in the pathway.
7. Assess for infection: Look for signs of infection, such as redness, warmth, increased pain, pus, or systemic signs like fever. If present, note it in the pathway and consider appropriate interventions.
8. Evaluate vascularity: Assess the lower extremity for signs of compromised blood supply (ischemia) or signs of excessive blood flow (hyperemia) around the wound area. Document any findings.
9. Consider comorbidities: Take into account any relevant comorbidities or underlying conditions that may impact wound healing, such as diabetes, peripheral artery disease, or venous insufficiency.
10. Develop a comprehensive plan: Based on the information gathered through the pathway, develop an appropriate plan of care for the lower extremity wound, including wound cleansing, dressing selection, adjunctive therapies, and monitoring.

Who needs lower extremity wound pathway?

1. Patients with lower extremity wounds: Individuals who have wounds in the lower extremity, such as ulcers, traumatic injuries, or surgical incisions, can benefit from the lower extremity wound pathway. It provides a structured approach to assess and manage these wounds effectively.
2. Healthcare professionals: Doctors, nurses, wound care specialists, and other healthcare professionals involved in the management of lower extremity wounds can utilize the pathway to ensure a standardized and systematic approach in their practice. It serves as a guide to promote thorough documentation, assessment, and treatment planning.
3. Wound care teams and institutions: Wound care teams in hospitals, clinics, or long-term care facilities can implement the lower extremity wound pathway as part of their wound care protocols. By using a standardized pathway, these teams ensure consistency and quality in wound assessment and management, leading to improved patient outcomes.

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What is lower extremity wound pathway?

The lower extremity wound pathway is a standardized form used to document information related to wounds on the lower extremities.

Who is required to file lower extremity wound pathway?

Healthcare providers who are treating patients with wounds on their lower extremities are required to file the lower extremity wound pathway.

How to fill out lower extremity wound pathway?

The lower extremity wound pathway should be filled out by documenting all relevant information about the wound, including location, size, depth, and any treatments administered.

What is the purpose of lower extremity wound pathway?

The purpose of the lower extremity wound pathway is to track the progress of wounds on the lower extremities, monitor treatment effectiveness, and ensure proper documentation for healthcare providers.

What information must be reported on lower extremity wound pathway?

Information such as wound size, depth, location, type of wound, treatments administered, and any complications must be reported on the lower extremity wound pathway.