Visual and photographic recording of vascular wounds and diabetic foot ulcers; a step forward in the nursing care process

Authors

  • Natalia López Morán SERGAS
  • Marta Gómez López SERGAS
  • Natalia López González SERGAS
  • Ángeles Rodríguez Novo SERGAS
  • Carmen Labrada Novo SERGAS
  • Consuelo Dos Santos Sánchez SERGAS
  • Alicia Fernández Vidal SERGAS
  • María José Rodríguez Picado SERGAS

Keywords:

Digital Planimetry, Vascular Wound, Diagnosis, Assessment, Nursing, Photography

Abstract

Nursing has always been associated with the assessment, prevention, and treatment of wounds (6). These injuries have become a measure of the quality of care provided to patients. Despite this, a large group of healthcare professionals has generally not given these injuries the importance they deserve, leading them to be considered a “secondary problem” or something inherent to the health condition of those who suffer from them (2).
The way wounds are measured is often subjective, which makes evaluating the effectiveness of treatments inaccurate and biased.
Having optimal documentation for wound assessment is essential for clinical, legal, research, educational, resource management, and communication purposes among different members of the healthcare team.

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References

Aedo Carreño V, Parada Santander T, Alcayaga Rojas C, Rubio Acuña M. Registro electrónico de enfermería en la valoración de las heridas. Electronic records for wound assessment for nurses.

García S, Navío A, Valentin L. Normas básicas para la elaboración de los registros de enfermería. Nure Invest. 2007;28:1-8.

Joint Commision on Accreditation of Healthcare Organizations (JCAHO). Revised Chapter Record of Care, treatment, and Services Long Term Care Accreditation Program. 2009.

Fishman T. The principles of proper wound assessment and photo documentation. North Miami Beach, FL: Wound Care Institute; c1996 [cited 2010 Dec 16]. Available from: http://www.woundcare.org/newsvol2n1/ar3.htm.

Unger P. Documentation for reimbursement. In: Wound Healing. Evidence-based management. USA: Contemporary perspectives in rehabilitation; 2010. p. 633–642.

Baranoski S, Ayello E. Legal aspects of wound care. In: Wound care essentials. Practice and principles. USA: Lippincott Williams and Wilkins; 2008. p. 30–46.

Hurlow J. Assessment and documentation issues in wound care. Wound and skin care center [homepage on the Internet]. United States [cited 2010 Nov 26]. Available from: http://www.vnaa.org/vnaa/g/?h=html/wound.

Currell R, Urquhart C. Sistemas de registro de enfermería: efectos sobre la práctica de la enfermería y resultados en la asistencia sanitaria (Revisión Cochrane traducida). Oxford: Biblioteca Cochrane Plus; c2008 [updated 2003 May 16; cited 2010 Nov 12]. Available from: http://www.update-software.com.

Ibarra A, García M. Registros de enfermería [homepage on the Internet]. Almería [updated 2007 Dec 6; cited 2010 Dec 12]. Available from: http://www.eccpn.aibarra.org/temario/seccion1/capitulo21/capitulo21.htm.

Brem H. Wound electronic medical record system [homepage on the Internet]. 2006 [updated 2006 Apr; cited 2010 Dec 12]. Available from: http://www.wipo.int/pctdb/en/wo.jsp?WO=2006039404&IA=US2005035026&DISPLAY=STATUS.

Maggi J. Implementation of an online wound electronic medical record as a clinical tool to decrease amputations in persons with diabetes. Langone Medical Center. Surgical forum abstracts. Proceedings of the American College of Surgeons (ACS) 96th Annual Clinical Congress; 2010 Oct; New York University; 2010.

Golinko M, Margolis D, Tal A, Hoffstad O, Boulton A, Brem H. Preliminary development of a diabetic foot ulcer database from a wound electronic medical record: a tool to decrease limb amputations. Wound Repair Regen. 2009;17(5):657–665.

García Martín-C, Martínez Martín C. Historia de la Enfermería. Evolución histórica del cuidado enfermero. Madrid: Elsevier; 2007.

Soldevilla Agreda J, Navarro Rodríguez S. Aspectos legales relacionados con las úlceras por presión. Gerokomos. 2006;17(4):203–24.

Restrepo-Medrano JC, Verdú J. Medida de la cicatrización en úlceras por presión: ¿Con qué contamos? Gerokomos [Internet]. 2011 Mar [cited 2017 Sep 10];22(1):35–42. Available from: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-928X2011000100006&lng=es.

Capillas Pérez RM, Castillo Muñoz L, Morros Torné C, Portas Freixes J, Vedia Urgell C. Manejo de las úlceras vasculares. Guías de la práctica clínica y material docente [Internet]. Barcelona: Institut Catalá de la Salut; 2004 Dec [cited 2015 May 15]. Available from: http://www.gencat.cat/ics/professionals/guies/docs/guia_ulceres_vasculars.pdf.

Blanes Mompo JJ et al. Documento de consenso sobre el tratamiento de las infecciones en el pie del diabético. Rev Esp Quimioter [Internet]. 2011 [cited 2015 May 15];24(4):233–62. Available from: http://seq.es/seq/02143429/24/4/diabetico_esp.pdf.

Organización Mundial de la Salud [homepage on the Internet]. [cited 2015 May 20]. Available from: http://www.who.int/en/.

Rueda López J et al. Primer Estudio Nacional de Prevalencia de Úlceras de Pierna en España. Estudio GNEAUPP-UIFC-Smith & Nephew 2002–2003. Epidemiología de las úlceras venosas, arteriales, mixtas y de pie diabético. Gerokomos. 2004;15(4):230–247.

Asociación Española de Enfermería Vascular y Heridas. Guía de práctica clínica: Consenso sobre úlceras vasculares y pie diabético. 3ª Edición. Madrid: AEEVH; 2017. Available from: http://www.aeev.net.

Bibliografía consultada, no reseñada:

Cacicedo González R, Castañeda Robles C, Cossío Gómez F, Fernández Saíz B, Delgado Uría A, Gómez España MV, et al. Manual de prevención y cuidados locales de heridas crónicas [Internet]. Servicio Cántabro de Salud; 2011 [Acceso 25 Marzo de 2015]. Disponible en: http://www.scsalud.es/documents/2162705/2163005/Manual+de+Preveci%C3%B3n+y+Cuidados+Locales+de+Heridas+Cr%C3%B3nicas_SCS.pdf

Consenso internacional. La importancia del tratamiento de heridas eficiente. Wounds International; 2013. Disponible en: www.woundsinternational.com.

European Wound Management Association (EWMA). Position Document: Wound Bed Preparation in Practice. London: MEP Ltd; 2004.

Gago Fornells M, García González RF. Cuidados de la piel perilesional. 2006.

Hernández Osma E, Martín Paredero V. Manual de patología vascular.

Malay DS, Margolis DJ, Hoffstad OJ, Bellamy S. The incidence and risks of failure to heal after lower extremity amputation for the treatment of diabetic neuropathic foot ulcer. J Foot Ankle Surg. 2006;45:366–74.

Brem H, Sheehan P, Boulton AJ. Protocol for treatment of diabetic foot ulcers. Am J Surg. 2004;187(5A):1S–10S.

Urbancic-Rovan V. Causes of diabetic foot lesions. Lancet. 2005;366:1675–6.

Wagner FW. The dysvascular foot: a system for diagnosis and treatment. Foot Ankle. 1981;2:64–122.

Gibbons G, Eliopoulos GM. Infection of the diabetic foot. En: Kozak GP, et al., eds. Management of diabetic foot problems. Philadelphia: WB Saunders; 1984.

Fontaine R, Kim M, Kieny R. Die chirurgische Behandlung der peripheren Durchblutungsstörungen. Helvetia Chirurgica Acta. 1954;5/6:199–533.

Transatlantic Inter-Society Consensus (TASC). J Vasc Surg. 2000;31(1) part 2:S168–S175.

Boulton AJ, Gries FA, Jervell JA. Guidelines for the diagnosis and outpatient management of diabetic peripheral neuropathy. Diabet Med. 1998;15:508–14.

Restrepo-Medrano JC, Verdú Soriano J. Desarrollo de un índice de medida de la evolución hacia la cicatrización de las heridas crónicas. Gerokomos [Internet]. 2011 Dic [citado 2017 Sep 10];22(4):176–83. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-928X2011000400005&lng=es.

Ministerio de Salud. Manejo y tratamiento de heridas y úlceras. Valoración y clasificación. Serie de guías clínicas 1 [homepage on the Internet]. [updated 2002; cited 2011 Jun 7]. Disponible en: http://www.inheridas.cl/wpcontent/uploads/pdf/Guia_1_Manejo_y_Tratamiento_de_las_Heridas_y_Ulceras.pdf.

Baranoski S, Ayello E. Using a wound assessment form. Nursing [serial online]. 2005 [cited 2011 Ene 29];35(3). Disponible en: http://www.nursing2005.com.

Domic E. Importancia de los registros de enfermería. Medwave [serial online]. 2004 [cited 2011 Jun 6];4. Disponible en: http://www.mednet.cl/link.cgi/Medwave/Enfermeria/Mayo2004/2793.

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Published

2025-08-30

How to Cite

López Morán, N., Gómez López, M., López González, N., Rodríguez Novo, Ángeles, Labrada Novo, C., Dos Santos Sánchez, C., … Rodríguez Picado, M. J. (2025). Visual and photographic recording of vascular wounds and diabetic foot ulcers; a step forward in the nursing care process. Revista Enfermeir@s, 1(38), 54–66. Retrieved from https://www.enfermerialugo.org/revista/index.php/enfermeiraos/article/view/183

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Vol. 1 No. 38 (2022): Enfermeir@s. Journal of the Illustrious Official College of Nursing of Lugo

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Brief Reports, Clinical Cases, and Nursing Notes

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