I know and I was always taught to reverse stage. But it would be so nice to all organizations, persons, etc. do the same. ----- Original Message ----- From: Debbie Settle Sent: Tuesday, December 30, 2003 9:07 AM To: [EMAIL PROTECTED] Subject: RE: Fw: staging of a pressue area The RAI manual directs us to reverse stage, so the critia for staging would be the same. However, in my RAP, I'd address that the area had once been a stage IV. Just playing devil's advocate - If the resident had been re-admitted to the same Skilled Nursing Facility and that facility knew it had at one time been a Stage 4 how would they stage it as compared to a facility that doesn't know what it had been in the past? I wish we could just "describe the wound as we see it" at all times versus all this other stuff. ----- Original Message ----- From: karen white Sent: Monday, December 29, 2003 7:06 PM To: [EMAIL PROTECTED] Subject: Fwd: Fw: staging of a pressue area thank you all for your input.... karen
--
--------- Forwarded Message ---------
DATE: Mon, 29 Dec 2003 08:41:53
From: "Christina Manibog" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Cc:
I agree.
----- Original Message -----
From: "Brenda Chance" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Monday, December 29, 2003 8:24 AM
Subject: RE: staging of a pressue area
> 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
>
>
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> -----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.
>
>
>
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