In This Toolkit
Wound Assessment Tools
Guidelines/Recommendations
Pressure Ulcer Care Planning Assessment Form
A tool to guide the development of nursing care plans for patients who either have pressure ulcers or are at risk of developing pressure ulcers.
Assessment tools
Braden Scale for Predicting Pressure Sore Risk
Use of the Braden Scale is a best practice in patient assessment for determining which patients are at the highest risk of developing pressure sores. This table format of the Braden Scale is a quick and easy risk assessment for staff to use which can be incorporated into the medical record.
Articles
NHS Improvement: Pressure Ulcers: Revised Definitions and Measurement Framework
NHA Improvement provides great resources for defining, measuring and caring for pressure ulcers.
Wound Management Tools
Assessment tools
Wound Photo Documentation Tool
A tool to facilitate appropriate documentation of pressure ulcers. This tool provides a place to insert a photo, prompts staff to answer descriptive questions regarding the wound and also provides definitions to ensure consistency of descriptions among staff.
Policy Templates
Wound Photo Documentation Protocol
A sample policy that can be used as a guide in development of your own organizational policy for photographic documentation of pressure ulcers.
Guidelines/Recommendations
Photography in Wound Documentation Fact Sheet
Photography is a common method used to document pressure ulcers. The use of photography for wound documentation is an organizational choice and not mandatory. However, if an organization chooses to use photography, care should be taken to ensure polices are in place for its use and staff are trained in the use of this type of documentation. The Fact Sheet, developed by the Wound Ostomy and Continence Nurses Society, outlines what processes should be in place at an organization that uses photography for documentation of pressure ulcers.
Articles
Wound Educators: Understanding Negative Pressure Wound Therapy
Describes the process of negative pressure wound therapy and the benefits it provides patients.
Wound Prevention Tools
Evaluation tools
Pressure Ulcer Adverse Event Reporting Tool
This tool will help the Risk Manager evaluate occurrences which involve the development or worsening of pressure ulcers during a patient’s admission.
Checklists
Pressure Ulcer Pathway
A checklist that can be used to evaluate pressure ulcer prevention practices. This tool assists your organization in determining if individual staff techniques are in line with current best practices in pressure ulcer prevention.
Articles
AHRQ Preventing Pressure Ulcers in Hospitals
Provides resources of best practices of multidisciplinary teams for wound management.
Articles
National Pressure Ulcer Advisory Panel
Provides the latest educational products on pressure ulcer prevention.