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How to Measure Wound Undermining

July 1, 2016 4 Comments

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 Wound Underminingwound underminingWound undermining occurs when the tissue under the wound edges becomes eroded, resulting in a a pocket beneath the skin at the wound’s edge.

Undermining is measured by inserting a probe under the wound edge directed almost parallel to the wound surface until resistance is felt.  The amount of undermining is the distance from the probe tip to the point at which the probe is level with the wound edge. Clock terms are also used to identify the area of undermining.

Wound undermining is more commonly found in patients with pressure or neuropathic ulcers.

Because tunneling and undermining are not readily visible, all wounds must he thoroughly probed to identify the full extent of tissue destruction. Wounds presenting with tunnels or undermining heal more slowly than wounds without these characteristics.

Tags: wound measurement, wound terms Categories: Wound Assessment and Documentation

About the Author

Laurie Swezey's avatar

Laurie Swezey, founder and president of WoundEducators.com, has been a Registered Nurse for more than a quarter century, with most of those years dedicated to wound treatment. Ms. Swezey is a Certified Wound Care Nurse and a Certified Wound Specialist.

Reader Interactions

Comments

  1. Catherine Ortiz says

    July 25, 2017 at 12:20 pm

    I’m a Register Nurse dedicate to wound treatment. I will like to know how to take care of ulcer with underminding.

    Reply
    • Laurie Swezey says

      July 26, 2017 at 3:02 pm

      Hi Catherine, As an RN dedicated to treating wounds, I highly recommend wound care certification. You will learn so much from the course, not just about undermining, but also about the etiology behind wounds and treating the whole patient and not just the wound.

      The WoundEducators.com online interactive educational programs are convenient and will prepare you for the nationally accredited wound care certification exam provided by the American Board of Wound Management (ABWM). For more information about the ABWM exam eligibility requirements please visit: https://woundeducators.com/wound-certification/abwm.

      The following presentation provides a brief overview of our program: https://woundeducators.com/course-preview/

      We also recommend reading the following article: The Importance of Formal Accredited Certification in Wound Care:
      https://woundeducators.com/accredited-wound-certification/

      For detailed information visit our wound care certification courses page, or contact us directly.
      For detailed information visit our wound care certification courses page, or contact us directly.

      Reply
  2. ma sophat says

    October 22, 2020 at 2:29 am

    I”m Ma Sophat register nurse I would like to know .How many kinds of solution for cleaning wound?

    Reply
    • Wound Educators says

      October 25, 2020 at 10:15 am

      Ma Sophat,

      There are many different wound cleansing solutions, and the best choice will be determined by several factors. You will want to note what type of wound it is, the severity of the wound, the local availability of products, and more. Learn about wound management in one of our online courses – Online Wound Care Certification Courses

      Reply

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