Since it's not open, I'd lean toward a stage I. However, I agree that there
is most likely underlying damage. I'm interested in seeing how other nurses
would code it.

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of
karen white
Sent: Monday, December 29, 2003 12:40 PM
To: [EMAIL PROTECTED]
Subject: staging of a pressue area


I have a question for the group. We had an admit over the weekend with a 4x4
area on her coccyx. It is closed, but discolored, with a 3x3 purple area in
the center. Staff called it a Stage I . I am not comfortable with that. The
nurse on the floor who does the wound care does not understand why I want to
stage it differently. I am leaning toward a stage 4, only because we are not
sure what is beneath that purple.
There is obviously underlined damage. What would you stage it?  Thanks
Karen.



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/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
      "Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
         questions posted to NAC News and FAQs.
    For more info visit us at http://www.aanac.org
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