N2

Surgical incision by primary intention

Skilled assessment of a midline abdominal surgical incision healing by primary intention. Incision well approximated, staples intact and evenly spaced, no separation; periwound without erythema, induration, or drainage; scant serosanguineous drainage at one end, decreased from the prior visit. Pain 3/10, controlled with the oral regimen. Findings confirm normal post-operative healing and that no signs of dehiscence or surgical-site infection are present; incision-protection and activity precautions reinforced, patient return-verified.

N3

Stable venous ulcer with compression

Skilled assessment of a chronic medial-gaiter venous ulcer under multilayer compression. Measured 3.6 × 2.0 cm, stable from the prior visit; bed 70% granulation, 30% thin slough; moderate serous exudate appropriate to venous disease; periwound with mild stable hyperpigmentation, no new maceration. Compression reapplied per order and tolerated. The stable measurement and intact compression confirm the venous plan is holding; continued compression and leg-elevation teaching reinforced with correct return demonstration.

N4

Diabetic foot ulcer improving with offloading

Skilled assessment of a plantar diabetic foot ulcer in an offloading device. Measured 0.8 × 0.8 × 0.2 cm, decreased from 1.2 × 1.0 cm; bed fully granulating, surrounding callus reduced; no purulence, odor, or periwound erythema; protective sensation absent at the site. Offloading device worn as ordered and intact. The decreasing dimensions and absence of infection confirm the offloading and glycemic plan are effective; daily foot-check and strict offloading reinforced, patient return-verified (cross-reference Diabetes overlay).

N5

Skin tear healing

Skilled assessment of a Type 2 skin tear to the left forearm. Approximated skin flap viable and adhered over 80% of the wound; bed pink without slough; scant serous exudate; periwound fragile but intact with no new erythema. Atraumatic dressing in place and correct per order. The viable flap and decreasing wound surface confirm healing is on track in fragile aging skin; atraumatic dressing technique and skin-protection measures reinforced with the caregiver, who return-demonstrated correctly.

N6

Stalled but stable wound, plan continued

Skilled assessment of a Stage 2 sacral pressure injury that has plateaued. Measured 1.5 × 1.2 cm, unchanged over two visits; bed 100% granulation without slough or infection; scant exudate; periwound intact; pressure-redistribution surface in use. The plateau without deterioration was evaluated against the plan; offloading verified adequate, nutrition and repositioning reinforced, and the current order continued with a defined threshold to escalate if no progress by the next two visits. Patient and caregiver verified the repositioning schedule.

N7

Newly closed wound, prevention teaching

Skilled assessment confirming full epithelialization of a previously open Stage 2 heel pressure injury, now closed with intact new epithelium and no drainage or breakdown at the margins. Surrounding skin intact; offloading boot continued to protect the fragile site. Closure was confirmed by direct inspection and comparison to prior measurements; recurrence-prevention teaching — continued offloading, daily skin checks, and early reporting — provided, with the caregiver return-demonstrating heel offloading correctly.