15. Homebound relevance

Wound care frequently supports both homebound criteria; document the patient-specific evidence when it is present and do not overstate it.

Wound-related evidence that supports homebound status

• Extensive wound-care needs and complex dressing regimens that the patient cannot self-manage.
• Offloading or non-weight-bearing requirements that make leaving home unsafe or require considerable, taxing effort and assistance.
• Pain, exudate, or device burden (e.g. negative-pressure therapy) that limits the ability to leave home.
• A need for assistance and a taxing effort to access wound care outside the home.