Pixalere wound not assessed function

Currently if a wound is dressed without being assessed or closed due to resident being discharged or deceased (and unable to be assessed), there's no way to complete the documentation without entering details about the wound characteristics even if we select Assessment Type = Not Assessed.

Summary of requirements

Where a dressing has been applied or a wound is being closed, but the wound is not assessed (as per scenarios listed below), users need to be able to record the dressing change, including the dressing products, without entering assessment details. The details also need to be included in the Viewer - Assessment & Treatment Flowchart.

Scenarios:

• Closing wounds on discharge or death where the wound cannot be viewed/assessed.
• If a dressing dislodges, staff may reapply the dressing without having to reassess the wound.
• Some minor/low-risk wounds are dressed by personal care staff, but only assessed by a registered nurse weekly, so we need to record the dressing without any wound assessment details.

 Current Functionality – based on Production release

When Assessment Type = Not Assessed, some assessment fields, such as Wound Bed and Wound Edge, are still set as mandatory and the assessment can’t be saved, despite no assessment being completed. By repopulating from the previous assessment or completing the mandatory fields, they’re making a statement about the wound characteristics, despite not assessing it and not being qualified to assess wounds. It’s important to have these fields set as mandatory when a wound is assessed, but they should be disabled when Not Assessed is selected.

Staff can complete the Treatment Plan from the Viewer and use the progress notes to make general observations about the wound without completing an assessment, but they’re unable to select dressing products without completing the assessment first and the details don’t appear in the Viewer - Assessment & Treatment Flowchart.

Proposed Change

Option 1: When Assessment Type = Not Assessed, only copy the following fields - currently all/most fields are populated even when ‘Populate previous saved assessment’ is not selected. These are the relevant fields when a wound is not assessed.

• Aetiology
• Goal of Care
• Acquired
• Date of Onset
• Status
• Recurrent
• Target Discharge Date

Option 2:

Add option to include Dressing Products from the Viewer when completing Treatment Plan to ensure all products are captured for the wound and can be reported on regardless of whether an assessment is completed, and include entries from the Viewer in the Assessment & Treatment Flowchart.

N.B. Option 2 doesn’t resolve the scenario for closing wounds for discharged/deceased residents.