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Acknowledgement
Overview
Definition
Aetiology
Direct Force
Shear Force
Friction
Potential Clients
Predisposing Factors
Common Sites
Norton Scale
Risk Assessment Tools
Norton Risk Assessment Guidelines
Norton Scale Calculator
Initial Nursing Care Plan
Wound Assessment
Overview
Staging & Location
Wound Bed & Exudate
Pain
Staging
Stage I
Stage II
Stage III
Stage IV
Unstageable
Suspected Deep Tissue Injury
Wound Management
Introduction
Dry Wound Vs Moist Wound
Consideration
Ideal Healing Environment
Ulcer Care
Wound Cleansing
Lotion
Method: Overview
Method: Dressing
Method: Irrigation
Method: Debridement
Flowchart
Supporting Healing Environment
Stage I
Stage II
Stage III
Stage IV
Unstageable
Suspected Deep Tissue Injury
Others Pressure Ulcer Management
Assessment & Treatment of Infection
Prevention
Introduction
Interventions
Skin Assessment
Skin Care
Pressure Reduction
Nutrition
Client/Care Giver Education
Support Surface
Norton Scale Calculator
(Please enter the score into the boxes)
Physical Condition
Good
4
Fair
3
Poor
2
Very bad
1
Mental Condition
Alert
4
Apathetic
3
Confused
2
Stuporous
1
Activity
Ambulant
4
Walks with help
3
Chair-bound
2
Bed-bound
1
Mobility
Full
4
Slightly limited
3
Very limited
2
Immobile
1
Incontinence
Not
4
Occasionally
3
Usually urine
2
Doubly
1
Total Score :