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Case Study Template  Clinician Name: Case Study Template  Clinician Name:

Case Study Template Clinician Name: - PowerPoint Presentation

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Uploaded On 2018-12-18

Case Study Template Clinician Name: - PPT Presentation

Title Name of Affiliated Facility Consen t form submitted Yes No Type of wound ex Diabetic ulcer Patient History Age amp sex Past medical and surgical history ID: 743591

picture wound secured kerecis wound picture kerecis secured contact history management level include treatment omega3 pictures condition application clinical slide granulation epithelialization

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Slide1

Case Study Template

Clinician Name:Title:Name of Affiliated Facility:Consent form submitted:Yes No

Type of wound: ex. Diabetic ulcerSlide2

Patient History:

Age & sexPast medical and surgical history:Pertinent history to wound:Age of wound:Prior to starting Kerecis Omega3 Wound Previous treatment:Ex: hydrogel, collagen dressings, NPWT, other cellular tissue base products

 Wound characteristic:Initial wound descriptionPain level and management

 

Past wound history and managementSlide3
Slide4

Date of wound picture:

 Wound measurement in cm : Brief Description: Wound characteristics: slough 10%, bone exposedPertinent information on wound status and patient’s condition if applicablePain level Wound progress: ex. Epithelialization, granulation For last slide, include clinical outcome

Wound Treatment:ex: Kerecis Omega3 Wound secured with steri-strips covered with contact layer, silver dressing secured with roll gauze. Total contact castCompression wrap 

Wound picture

Name of wound: i.e. DFU- Left leg

Current wound history and management

Aside from picture of wound, please include pictures of

Kerecis

on wound, application techniques,

etcSlide5

Date of wound picture:

 Wound measurement in cm : Brief Description: Wound characteristics: slough 10%, bone exposedPertinent information on wound status and patient’s condition if applicablePain level Wound progress: ex. Epithelialization, granulation For last slide, include clinical outcomeWound Treatment:

ex: Kerecis Omega3 Wound secured with steri-strips covered with contact layer, silver dressing secured with roll gauze. Total contact castCompression wrap 

Wound picture

Name of wound: i.e. DFU- Left leg

Current wound history and management

Aside from picture of wound, please also take pictures of

Kerecis

on wound, application techniques,

etcSlide6

Date of wound picture:

 Wound measurement in cm : Brief Description: Wound characteristics: slough 10%, bone exposedPertinent information on wound status and patient’s condition if applicablePain level Wound progress: ex. Epithelialization, granulation For last slide, include clinical outcomeWound Treatment:

ex: Kerecis Omega3 Wound secured with steri-strips covered with contact layer, silver dressing secured with roll gauze. Total contact castCompression wrap 

Wound picture

Name of wound: i.e. DFU- Left leg

Current wound history and management

Aside from picture of wound, please also take pictures of

Kerecis

on wound, application techniques,

etcSlide7

Date of wound picture:

 Wound measurement in cm : Brief Description: Wound characteristics: slough 10%, bone exposedPertinent information on wound status and patient’s condition if applicablePain level Wound progress: ex. Epithelialization, granulation For last slide, include clinical outcomeWound Treatment:

ex: Kerecis Omega3 Wound secured with steri-strips covered with contact layer, silver dressing secured with roll gauze. Total contact castCompression wrap 

Wound picture

Name of wound: i.e. DFU- Left leg

Current wound history and management

Aside from picture of wound, please also take pictures of

Kerecis

on wound, application techniques,

etcSlide8

Date of wound picture:

 Wound measurement in cm : Brief Description: Wound characteristics: slough 10%, bone exposedPertinent information on wound status and patient’s condition if applicablePain level Wound progress: ex. Epithelialization, granulation For last slide, include clinical outcomeWound Treatment:

ex: Kerecis Omega3 Wound secured with steri-strips covered with contact layer, silver dressing secured with roll gauze. Total contact castCompression wrap 

Wound picture

Name of wound: i.e. DFU- Left leg

Current wound history and management

Aside from picture of wound, please also take pictures of

Kerecis

on wound, application techniques,

etcSlide9

Date of wound picture:

 Wound measurement in cm : Brief Description: Wound characteristics: slough 10%, bone exposedPertinent information on wound status and patient’s condition if applicablePain level Wound progress: ex. Epithelialization, granulation For last slide, include clinical outcomeWound Treatment:

ex: Kerecis Omega3 Wound secured with steri-strips covered with contact layer, silver dressing secured with roll gauze. Total contact castCompression wrap 

Wound picture

Name of wound: i.e. DFU- Left leg

Current wound history and management

Aside from picture of wound, please also take pictures of

Kerecis

on wound, application techniques,

etcSlide10

Date of wound picture:

 Wound measurement in cm : Brief Description: Wound characteristics: slough 10%, bone exposedPertinent information on wound status and patient’s condition if applicablePain level Wound progress: ex. Epithelialization, granulation For last slide, include clinical outcomeWound Treatment:

ex: Kerecis Omega3 Wound secured with steri-strips covered with contact layer, silver dressing secured with roll gauze. Total contact castCompression wrap 

Wound picture

Name of wound: i.e. DFU- Left leg

Current wound history and management

Aside from picture of wound, please also take pictures of

Kerecis

on wound, application techniques,

etcSlide11