Tipe luka:
Vaskularisasi:
Stadium luka
(1-unstageable)
Ukuran luka
(P × L × D / T)
Goa/undermining
(goa di jam a.b × cm, dijam y)
Exudate/cairan luka
(Tipe, Jumlah)
Odour
Tepi luka
(tipis, tebal, halus, kaku, edema)
Tanda infeksi
(ada/tidak, local/sistemik)
Nyeri (1-10)
3. 3. 3.
4. 4. 4.
5. 5. 5.
6. 6. 6.
Intervensi Keperawatan 1. 1. 1.
2. 2. 2.
3. 3. 3.
4. 4. 4.
5. 5. 5.
6. 6. 6.
Implementasi Keperawatan 1. 1. 1.
2. 2. 2.
3. 3. 3.
4. 4. 4.
5. 5. 5.
6. 6. 6.