If the area is not necrotic, then I too would code as a stage I but document in the nurses' notes the exact thing that you have described here so that it will not be a problem if it becomes a huge ulcer.
Brenda W. Chance, RN, RAC-C MDS Coordinator CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -----Original Message----- From: Debbie Settle [mailto:[EMAIL PROTECTED] Sent: Monday, December 29, 2003 1:07 PM To: [EMAIL PROTECTED] Subject: RE: staging of a pressue area 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. ____________________________________________________________ Get advanced SPAM filtering on Webmail or POP Mail ... Get Lycos Mail! http://login.mail.lycos.com/r/referral?aid=27005 /---------------------------------------------------------- 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
