Dokumentasi Cleansing Pada Perawatan Luka Ny.

Z
Dengan Diabetic Foot Ulcer
PENGKAJIAN

Pada tanggal 20 April 2021 didapatkan data:

Luka: Size = 4 cm x 4,5 cm = 18 cm2, Full Granulation, Tissue compatible with a biofilm

MUNGS

Maceration : < 2 cm from the wound edge and/or expanded (2 cm) , Undermining : None (0 cm) ,

Necrotic tissue : None (0) , Granulation tissue : Full granulation (1) , Symptom : odema, full granulasi,

Bright Red, maserasi, Rolled

PENGKAJIAN

Pada tanggal 22 April 2021 didapatkan data:

Luka: Size = 4 cm x 4,5 cm = 18 cm2, Full Granulation, Tissue compatible with a biofilm

MUNGS

Maceration : < 2cm from the wound edge and/or expanded (2 cm) , Undermining : None (0 cm) ,

Necrotic tissue : Neno (0), Granulation tissue : Full granulation (1) , Symptom : odema, full granulasi,

Bright Red, maserasi, Rolled

PENGKAJIAN

Pada tanggal 24 April 2021 didapatkan data:

Luka: Size = 4 cm x 4,5 cm = 18 cm2, Full Granulation, Tissue compatible with a biofilm

MUNGS

Maceration : <2 cm form the wound edge and/or expanded (2 cm) , Undermining : None (0 cm) ,

Necrotic tissue : None (0), Granulation tissue : Full granulation (1) , Symptom : odema, full granulasi,

Bright Red, maserasi, Rolled