Certified Wound Ostomy Nurse (CWON) Practice Test

What does the acronym ESP+E in wound management prioritize?

1. Emotional, Social, Physical + Evaluation

2. Etiology, Systemic support, Topical therapy + Evaluation

3. Emergency, Safety, Prevention + Education

4. Ethics, Standards, Policies + Evaluation

The correct answer is: Etiology, Systemic support, Topical therapy + Evaluation

The acronym ESP+E in wound management emphasizes the importance of a comprehensive approach that includes understanding the etiology of the wound, providing systemic support, and implementing appropriate topical therapy, followed by a thorough evaluation of the wound management process. Focusing on etiology allows healthcare professionals to identify the underlying causes of the wound, which is crucial for effective treatment plans. Systemic support refers to addressing overall patient health, which can greatly affect wound healing—this could involve managing comorbid conditions, ensuring nutritional status, and optimizing overall wellness. Topical therapy encompasses the application of dressings and medications that directly promote healing and protect the wound environment. Additionally, incorporating evaluation into this framework ensures that healthcare professionals assess the effectiveness of the interventions and adjust the treatment plan as necessary. This cycle of evaluation feedback helps in achieving better outcomes for patients with wounds. The other options do not capture the comprehensive approach required in wound management. Each focuses on different elements that, while important, do not align with the established priorities in wound care as represented by the ESP+E framework.