Re: stage 1 pressure ulcers

Tue, 10 Feb 2004 00:18:35 -0800

Staging of pressure sores. A, Stage I. Redness not resolving within 30 minutes of pressure relief. Epidermis remains intact. Reversible with intervention. B, Stage II. Partial-thickness loss of skin layers involving epidermis and possibly penetrating into, but not through, dermis. May present as blistering with redness and/or induration; wound base is moist and pink, painful, and free of dead tissue. C, Stage III. Full-thickness tissue loss extending through dermis to involve subcutaneous tissue. Presents as shallow crater unless covered by eschar. (If wound involves dead tissue, staging cannot be confirmed until wound base is visible.) May include dead tissue; undermining, sinus tract formation; exudate; and/or infection. Wound base is usually not painful. D, Stage IV. Deep tissue destruction extending through subcutaneous tissue to fascia and possibly involving muscle layers, joint, and/or bone. Manifests as a deep crater. May include dead tissue; undermining, sinus tract formation; exudate; and/or infection. Wound base is usually not painful. (From Lewis SM, Collier IC, Heitkemper MM: Medical-Surgical Nursing: Assessment and Management of Clinical Problem, ed 4, St. Louis, Mosby�BYear Book, 1995. Used by permission.)
 
 
Medical Nutrition Therapy Protocol for Pressure Ulcers
----- Original Message -----
Sent: Monday, February 09, 2004 5:27 PM
Subject: RE: stage 1 pressure ulcers

I agree w/20 minutes.




Claudia
>From: "Debbie Settle" <[EMAIL PROTECTED]>
>Reply-To: [EMAIL PROTECTED]
>To: <[EMAIL PROTECTED]>
>Subject: RE: stage 1 pressure ulcers
>Date: Mon, 9 Feb 2004 15:59:18 -0500
>
>20 minutes is what I've learned over the years. Don't know if is actually
>fact or if its is just something I've been taught along the way.What does
>everyone else think?
>   -----Original Message-----
>   From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of
>Maureen Stettner
>   Sent: Monday, February 09, 2004 3:06 PM
>   To: [EMAIL PROTECTED]
>   Subject: Re: stage 1 pressure ulcers
>
>
>   Is there a standard of time for which an area remains pink is a Stage I
>ulcer?  Or is this facility defined?  I can't find in print anywhere a
>standard of time for this.
>
>   [EMAIL PROTECTED]
>
>     ----- Original Message -----
>     From: [EMAIL PROTECTED]
>     To: [EMAIL PROTECTED]
>     Sent: Monday, February 09, 2004 11:21 AM
>     Subject: Re: stage 1 pressure ulcers
>
>
>     All pressure ulcers Stage 1 through 4 are factored into the numerator
>for the Quality Indicators used in the survey process as well as for the
>Quality Measures posted on the Internet at www.medicare.gov.
>
>     Rena
>
>     Rena R. Shephard, MHA, RN, FACDONA, RAC-C
>     Chair, American Association of Nurse Assessment Coordinators
>     [EMAIL PROTECTED]
>
>
>
>       Subj: stage 1 pressure ulcers
>       Date: 2/3/04 3:53:12 AM Pacific Standard Time
>       From: [EMAIL PROTECTED]
>       Reply-to: [EMAIL PROTECTED]
>       To: [EMAIL PROTECTED]
>       Sent from the Internet
>
>
>
>       Hello to Everyone,
>
>         I hope someone is able to help me.  A question has arouse.  Is
>       the state of Pennsylvania counting stage 1 pressure ulcers on the
>       quality indicators?
>
>
>       thanks for all your help,
>
>
>
>
>

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