Please fill out ONE form per wound Goal of Care To Heal 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the Client Name, DOB, and PHN at the top of the form. This information is essential for identifying the patient.
3. In the Wound Assessment section, document the Date of Onset and select the Wound Type/Etiology from options such as Pressure, Venous, or Diabetic. If applicable, specify the stage of a pressure ulcer.
4. Mark the location of the wound using an arrow or 'X' in the designated area. This visual cue helps in tracking wound progress.
5. Fill in Wound Measurements including Length, Width, and Depth. Ensure that total percentages for wound bed composition add up to 100%.
6. Document Exudate Amount and Type, noting any odour present after cleansing. This information is crucial for assessing wound healing.
7. Complete sections on Wound Edge characteristics and Peri-wound Skin conditions to provide a comprehensive assessment.
8. Finally, outline your Treatment Plan and ensure all initials are recorded where necessary to maintain accountability.

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