Home Health Care Wound Assessment Documentation
Patient Name
Date of Assessment
Assessor Name
Wound Details
Location of Wound
Type of Wound
Pressure Ulcer
Diabetic Ulcer
Surgical
Traumatic
Other
Wound Measurement (L x W x D cm)
Wound Bed Appearance
Exudate (Amount & Type)
Odor
None
Faint
Moderate
Strong
Edges
Surrounding Skin
Signs of Infection
None
Redness
Edema
Increased Pain
Purulent Drainage
Other
Pain (0-10)
Care Provided
Wound Cleansing Method
Dressing Applied
Patient Education
Follow-up/Additional Notes