Wound Assessment

Wound care documentation, dressing records, and healing progress

Kavya Sharma, 34F · SW-4

Surgical wound — laparotomy (midline)Abdomen — midline

Improving

Size

18 × 3 cm

Depth

Superficial

Exudate

Moderate serosanguinous

Edges

Well approximated

Periwound

Mild erythema

Odour

None

Dressing Plan: Non-adherent dressing + absorbent secondary layerDaily

Day 2 post-op. Wound edges well approximated. Drain site clean. No signs of infection.

Assessed by Sr. Kavya N. · 23 Jun 2026

Rajan Mehta, 75M · ICU-4

Pressure ulcerSacrum

Static
Stage 2

Size

4 × 3.5 cm

Depth

Partial thickness

Exudate

Minimal serous

Edges

Irregular, rolled

Periwound

Mild erythema, intact

Odour

None

Dressing Plan: Hydrocolloid dressingEvery 48–72 hours

Present on admission. Turn schedule 2-hourly. Special mattress in place. Refer to wound care nurse.

Assessed by Sr. Priya R. · 23 Jun 2026

New Wound Assessment