Wound Care

Wound Care


  • Assess pertinent history, focusing on primary reason child has a wound (e.g., surgical incision, intravascular access site, pressure ulcer, accidental injury) and the plan for wound care at home, if appropriate.

    Figure 125-1 Aseptic Non-Touch Technique Approach. Used with permission of The Association for Safe Aseptic Practice/www.antt.org

  • Assess medical record and double-check with the patient and caregiver for the presence of any allergies, including those to latex, tape or adhesives, and any skincare products that would affect wound care.

  • Describe the wound care procedure to the child and the family. Collaborate with them in identifying a time during the day for the dressing change(s) allowing premedication of analgesics if appropriate.

  • Assess the child’s developmental level and understanding of the wound care/dressing change process.

  • Utilize dolls or models to demonstrate the care, if appropriate, or assist the child to identify ways he or she can help with the dressing change (e.g., remove tape, help lift off the dressing, help gather dressing supplies, etc.).

  • Assess the child’s and the family’s ability and readiness to participate in the wound care and dressing change.

  • Assess the child’s pain level with each dressing change and deliver appropriate pain relief interventions before initiating wound care. Assess the effectiveness of distraction and comfort measures used with dressing changes.

  • Determine whether dressing change should be performed in the treatment room to ensure that the child’s bed and/or room remains a “safe location” free from painful experiences.

Jul 9, 2020 | Posted by in NURSING | Comments Off on Wound Care

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