Let’s
summarize our discussion today. We hope that we have provided some
insight to the questions on this slide.
First,
why is it important to document wounds, including care and treatment?
Documentation provides the communication necessary to provide optimal
care planning, monitoring of progress, and successful insurance coverage
for care and treatment.
What is
included in wound documentation?
In a nutshell, it should
include documentation of wound characteristics, documentation to justify
treatment and supplies using care to match these to the wound
characteristics, prognosis for wound healing, documentation of ongoing
monitoring for both progress and problems--or barriers to wound healing,
and orders that match up with the objective documentation of the wound
and all conditions that may affect proper wound healing.
Finally,
what are
the benefits of proper documentation?
We hope that it will be
clear that proper documentation can improve patient care and treatment,
the effectiveness of your interventions – especially those that cross
from in-patient to out-patient care - and help to assure accurate
reimbursement to reduce the patient’s financial burden for additional
needed care and supplies.
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