WOUND ASSESSMENT PARAMETER SCORING TOOL (WAPST)
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DATE
DATE
SIZE:
Measure: Length as the distance from the top to bottom or 12 to 6 position. Width is side to side on 3-9 o'clock position		         EXUDATE AMOUNT:
  1. None
  2. Scant
  3. Small
  4. Moderate
  5. Large
       
DEPTH:
  1. Wound closed and well approximated
  2. Partial thickness, Stage I or II
  3. Full thickness, Stage III or IV
  4. Not visible due to necrosis
  5. Bone involvement demonstrated as osteomyelitis
        ODOR:
  1. None
  2. Mild
  3. Offensive
  4. Foul
  5. Extreme
       
EDGES:
  1. Wound closed and well approximated
  2. Distict border, attached and even with wound base
  3. Defined, not attached to wound base
  4. Rolled under thickened, shiny, macerated
  5. Thickened and hyperkeraltoic, jagged, indurated, red, edematous
        TREATMENT ZONE SKIN COLOR:
  1. Normal for skin tone
  2. Red
  3. Pallor/Gray
  4. Ecchymotic
  5. Black/Cyanotic
       
UNDERMINING/TUNNELING:
  1. None
  2. Less than 2cm
  3. Greater than 2 cm but less than 4 cm
  4. Tunneling; greater than 4 cm
  5. Involves adjacent organs or structures
        TREATMENT ZONE TISSUE EDEMA:
  1. None
  2. Minimal demonstrated by blanching
  3. Mild demontstrated by pitting edema #1
  4. Moderate demonstrated by pitting edema #2
  5. Severe demonstrated by pitting edema#3
       
NECROTIC TISSUE:
  1. None
  2. White-gray loosely adherent
  3. Yellow, loosely adherent slough or fibrinous tissue
  4. Loosely adherent brown or black devitalized tissue
  5. Adherent black eschar
        TREATMENT ZONE INDURATION:
  1. None
  2. Minimal demonstrated as being easy to blanch.
  3. Mild demonstrated as spongy tissue
  4. Moderate demonstrated as being firm and warm
  5. Severe demonstrated and being hard, red and hot or with crepitus
       
NECROTIC TISSUE AMOUNT:
  1. None
  2. Up to 25%
  3. 25%-50%
  4. 50-75%
  5. 75-100%
        VIABLE TISSUE TYPE:
  1. Wound closed
  2. Bright red and glossy
  3. Pink and moist
  4. Pale and dusky
  5. None
       
EXUDATE TYPE:
  1. None
  2. Serous
  3. Serosanguinous
  4. Bloody
  5. Purulent
        VIABLE TISSUE AMOUNT:
  1. 100%
  2. 75%
  3. 50%
  4. 25%
  5. None
       
          STATUS:
  1. Closed
  2. Significant improvement
  3. Slight improvement
  4. No Change
  5. Deteriorated
       
TOTAL
        
TOTAL
        
         
OVERALL SCORE
        

HEALTH 0            TISSUE              70 DEATH

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*This tool is copyrighted © 1997 Whitaker & Motta Associates. All Rights Reserved. Reprint by Permission

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