A localized area of skin or underlying tissue injury resulting from pressure and/or shear
Usually over a bony prominence (eg, sacrum, calcaneus, ischium)
Classified in stages according...
Risk factors
Nutritional assessment (1)
Pain assessment (1)
Date of ulcer diagnosis
Treatment course
Full skin examination on initial contact and repeatedly throughout visit...
Comprehensive initial assessment of the patient
Pressure reduction/redistribution (4)[A]
Nutritional support (e.g., protein-containing supplements) (5)[B]
Wound assessment and...
Home health nursing
Change plan of care if no improvement in...
Qaseem A, Humphrey LL, Forciea MA, et al; for Clinical Guidelines Committee of the American College of Physicians. Treatment of pressure ulcers: a clin...
L89.95 Pressure ulcer of unspecified site, unstageable
L89.91 Pressure ulcer of unspecified site, stage 1
L89.92 Pressure ulcer of unspecified site, stage 2
L89.93 Pressure ulcer of unspecifie...
Create assessment and prevention protocols for all patients.
Identify risk factors, reduce/redistribute pressure, maximize nutrition, regular skin checks, and assess and treat wounds ap...
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FIGURE 9-3 Pressure ulcer staging. (A) Stage I, erythema; (B) Stage II, breakdown of the dermis; (C) Stage III, full thickness skin breakdown; (D) Stage IV, bone, muscle, and supporting tissue involved.
FIGURE 9-3 Pressure ulcer staging. (A) Stage I, erythema; (B) Stage II, breakdown of the dermis; (C) Stage III, full thickness skin break...