When assessing a wound, nurses should consider several aspects:
- Color: The color of a wound can indicate its stage of healing. For example, a red wound is typically in the inflammatory or proliferative phase, while a yellow wound may indicate the presence of slough or necrotic tissue. - Exudate: The type and amount of exudate can provide information on the wound's condition. Serous exudate is usually normal, while purulent exudate may suggest infection. - Odor: A foul odor may indicate an infection or the presence of necrotic tissue. - Size and Depth: Measuring the wound helps track healing progress or deterioration over time. - Surrounding Skin: The condition of the skin around the wound can offer clues to complications such as maceration or irritation.
