Re: Abrasion Question

[RRS2000]

If pressure was a factor in development of the abrasion, then the wound would be coded as a pressure ulcer.  The RAI User's Manual, last paragraph on page 3-162, notes that there may be situations in which "even slight rubbing or friction on the skin may cause minor pressure ulcers." 

I have seen situations in which a combination of slight pressure of a cast on the skin in conjunction with the rubbing or friction has caused what I assessed to be an ulcer that was correctly coded as a pressure ulcer on the MDS.  Each case must be assessed individually.

Rena

Subj: Abrasion Question
Date: 12/17/03 5:46:24 AM Pacific Standard Time
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  There is difference of opinion on whether an abrasion from a cast edge is
a pressure ulcer. What does the group say. Thanks Very Much.

Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
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