the issue is lvls 1-4, after 5 she can make do, but the nerf disproportionally harms her early game with no supplement to help her keep up with the team.
shes just not very support like anymore.
wound can only go so far and doesnt give her any xp, and lack of any viable CC skills reduces her to poking everything for the first 10 minutes and hope you get enough assists to get to lvl5 for PR/DD to then be a productive member of the team.
There seems to be this focus on damage as being the issue, its not really about the damage, its about the loss of functionality.
For a “controller” she has very little ability to control.
With wound being the only useful thing she does, she is only as useful as wound is. Basically, it boils down to her needing a CC skill to replace the lost functionality of silence and damage, so that she can do something to help the team pre-midgame that another character cannot do, otherwise she is just a knock off of somebody better and shouldnt have been picked.