RE: staging of a pressue area

[Brenda Chance]

See Rena’s reply to this earlier this week.  You cannot code this as stage iv unless the area is necrotic or open.  You will need to code it as a stage I with a good documentation in case the area breaks open or becomes necrotic.    I have really thought a lot about this wound.  We had a resident about 1 year ago that had the same kind of appearance.  It turned out to be not a pressure area, but an area that had impeded circulation and we ended up having to send the resident for surgery.  This resident required extensive surgery that ended up with bowel involvement.    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: li pow [mailto:[EMAIL PROTECTED] Sent: Tuesday, December 30, 2003 11:28 PM To: [EMAIL PROTECTED] Cc: [EMAIL PROTECTED] Subject: RE: staging of a pressue area   because you dont know what is underneath the purplish area, I would code as stage 4. lpowell  ([EMAIL PROTECTED])   >From: [EMAIL PROTECTED] >Reply-To: [EMAIL PROTECTED] >To: [EMAIL PROTECTED] >Subject: RE: staging of a pressue area >Date: Mon, 29 Dec 2003 16:00:04 -0500 > >In a message dated 12/29/2003 1:07:22 PM Eastern Standard Time, "Debbie Settle" <[EMAIL PROTECTED]>writes: > > >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. > >UTD=4 > > > >-----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 >-----------------------------------------------------------/ Working moms: Find helpful tips here on managing kids, home, work — and yourself. /---------------------------------------------------------- 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 -----------------------------------------------------------/