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Understanding Wound Care in Long-Term Care Facilities: A Guide for CNAs

CNAHello, dedicated caregivers! 🌼 If you’re a Certified Nurse Aide (CNA) working in a long-term care facility, you play a vital role in the well-being and comfort of your residents. One aspect of care that’s particularly important in these settings is wound care. While wound care is typically managed by nurses and other healthcare professionals, CNAs have an essential role in observing, reporting, and assisting with basic wound care practices. Let’s dive into how you, as a CNA, can support wound care in a safe and effective manner.

The CNA’s Role in Wound Care

First and foremost, it’s crucial to understand the scope of your practice as a CNA. Direct wound treatment and dressing changes are generally the responsibilities of nurses and other licensed healthcare providers. However, CNAs are key team members in monitoring and supporting residents with wounds. Here’s how you can contribute:

  1. Observation and Reporting: One of your most important roles is to observe any changes in a resident’s skin condition. If you notice signs of a wound, such as redness, swelling, drainage, or a foul odor, it’s essential to report these observations to a nurse promptly. Early detection of skin issues can prevent them from developing into more serious wounds.
  2. Assisting with Basic Care: While you won’t be changing wound dressings, you can help by ensuring that residents’ skin remains clean and dry. Assisting with regular bathing, repositioning residents to prevent pressure ulcers, and helping maintain proper nutrition and hydration are all vital components of wound prevention and care.
  3. Maintaining a Clean Environment: CNAs can help reduce the risk of infection by keeping the resident’s environment clean. This includes changing linens regularly, ensuring personal hygiene supplies are clean, and disposing of any soiled materials appropriately.
  4. Providing Emotional Support: Wound care can be uncomfortable and stressful for residents. Providing a comforting presence, listening to their concerns, and offering reassurance can make a significant difference in their overall experience and recovery.

Basic Wound Prevention Tips

Preventing wounds, especially pressure ulcers, is an essential part of care in long-term care facilities. Here are some prevention tips that CNAs can assist with:

  • Regular Repositioning: For residents with limited mobility, regular repositioning every 1-2 hours can help prevent pressure ulcers. Assist with turning and positioning residents as needed.
  • Skin Care: Keep the skin clean and moisturized. Gently cleanse the skin during bathing and apply moisturizers to prevent dryness.
  • Nutrition and Hydration: Encourage residents to eat a balanced diet and stay hydrated, as proper nutrition is key to maintaining healthy skin and supporting wound healing.
  • Use of Supportive Devices: Utilize pillows, cushions, and specialized mattresses to relieve pressure on vulnerable areas. Make sure these devices are in place and used correctly.

Educational Resources for CNAs

While your role in wound care is supportive, understanding the basics of wound care can help you be more effective in your duties. Here are some resources you might find helpful:

  • CDC Pressure Ulcer Prevention Guide: This guide provides an overview of best practices in preventing pressure ulcers in long-term care settings.
  • Managing Wound Care: Wounds, especially chronic wounds, can be clinically challenging to manage, National Institutes of Health .

When to Report to a Nurse

Knowing when to report changes is crucial in wound care. Contact a nurse immediately if you observe any of the following:

  • Redness, swelling, or warmth around the wound site
  • Increased drainage or a change in the color or odor of the drainage
  • Signs of infection, such as pus or a foul smell
  • The resident expressing increased pain or discomfort
  • Any signs of new wounds or skin breakdown

Working Together for Better Care

Remember, wound care is a team effort, and your role as a CNA is invaluable. By staying vigilant, providing basic care, and reporting changes promptly, you help ensure that residents receive the best possible care. Your contributions make a real difference in preventing complications and promoting healing.


If you’re interested in learning more about wound care and other aspects of patient care, consider exploring additional courses and resources. At We Care Online, we offer training and support to help you excel in your role and provide the highest quality of care to your residents. Together, we can make a difference in the lives of those we care for. 💖

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