The Bates-Jensen Wound Assessment Tool provides instructions for evaluating wounds based on 13 items: size, depth, edges, undermining, necrotic tissue type and amount, exudate type and amount, skin color surrounding wound, peripheral tissue edema/induration, granulation tissue, and epithelialization. Nurses are directed to rate each item by selecting the response that best describes the wound and calculating a total score, with higher scores indicating more severe wound status. Wound…
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