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Journal of General Practice Nursing (GPN) | March 2021

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Importance of accurate documentation and holistic wound assessment

Importance of accurate documentation and holistic wound assessment
Health promotion

Pages: 40 - 46

Article topics: Cost effectivenes, Nurse documentation, Wound assessment, Wound photography

Keeping clear and accurate patient records is key to safe and effective practice (Nursing and Midwifery Council [NMC], 2018). In wound management, systematic and timely wound assessment can lead to correct diagnosis, the implementation of clinically effective treatments and subsequent improvement in patient and wound-related outcomes (Atkin and Critchley, 2017). Updating records at every subsequent reassessment can ensure continuity of care between healthcare professionals. This article examines the importance, requirements and barriers to documentation in wound care, how ongoing comprehensive holistic assessment contributes to keeping records up to date and relevant, and looks at the increased use of digital photography in a virtual setting.

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