Skin Anatomy, Physiology and Wound Healing

ted 1 

Video on Wound Healing: CLICK HERE

Video on Scar Tissue: CLICK HERE


Step 1: Assess and/or Reassess

Tools to Assess Risk of Skin Breakdown

Pressure: Adult

Pressure: Pediatric

Diabetic Foot Ulcers:

  • Inlow 60-Second Diabetic Foot Screen: CLICK HERE
  • Self-Assessment Footwear Checklist for Patients: CLICK HERE

Skin Tears:

Lower Leg:

Wound Assessment Tools

Pain Assessment Tools

Quality of Life (QoL) and Health-related Quality of Life Assessment (HRQoL) Tools

  • Cardiff Wound Impact Schedule: CLICK HERE
  • Wound-QoL: CLICK HERE
  • Freiburg Life Quality Assessment: CLICK HERE
  • The Problem Areas in Diabetes Scale (PAID): CLICK HERE
  • The Diabetes Distress Scale: CLICK HERE
  • The World Health Organization – WHO-5 Well-being Index:CLICK HERE
  • The Hospital Anxiety and Depression Scale (HADS): CLICK HERE
  • The Patient Health Questionnaire (PHQ-9):CLICK HERE
  • The Centre for Epidemiological Studies-Depression Scale (CES-D): CLICK HERE
  • The Beck Depression Inventory: CLICK HERE

Nutritional Screening Tools


Step 2: Set Goals

 Step 3: Assemble the Team

Step 4: Implement Plan of Care (Local Wound Care)

Step 5: Evaluate Outcomes

Note: Use assessment tools for comparison to determine if outcomes are being met (see step 1)

  • Spinal Cord Impairment Pressure Ulcer Monitoring Tool (SCI-PUMT): CLICK HERE

Other Resources

Fall Prevention Programs

  • RNAO Guideline: Prevention of Falls and Fall Injuries in the Older Adult: CLICK HERE
  • The Timed Up and Go (TUG) Test: CLICK HERE

Wound Prevention

  • Veterans Health association (VHA) handbook: CLICK HERE
  • Agency for Healthcare Research and Quality (AHRQ) toolkit for PI prevention: CLICK HERE
  • Pressure Injury Prevention Points: CLICK HERE
  • Safer Healthcare Now! Preventing Surgical Site Infections: Getting Started Kit: CLICK HERE

Patient Resources