F. PRINCIPLES OF TREATMENT BASED ON ETIOLOGY (TREAT THE CAUSE)
|
|
- Jade Blake
- 7 years ago
- Views:
Transcription
1 F. PRINCIPLES OF TREATMENT BASED ON ETIOLOGY (TREAT THE CAUSE) F.3. PRESSURE ULCER (PU) 3.1. PU Background and Extent of Etiology (from the SWCCAC Wound Management Program March 2011) A pressure ulcer is localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction. A number of contributing or confounding factors are also associated with pressure ulcers: poor nutritional status, impaired mobility, low level of activity, impaired sensory perception, advanced age, low arteriole pressure, poor oxygenation, unresolved moisture on skin, friction and shear, number and severity of comorbidities. You can never back stage an ulcer e.g. once a stage IV, always a stage IV. The Wound Ostomy Continence Nurses Society in the USA has developed the following definitions about avoidable and unavoidable pressure ulcers (go to WOCN Library tab then go to Position Papers): AVOIDABLE PRSSURE ULCERS Occur when the resident develops a pressure ulcer and the facility did NOT do one or more of the following: evaluate the resident s clinical condition and pressure ulcer risk factors; define and implement interventions that are consistent with resident needs, resident goals, and recognized standards of practice; or monitor and evaluate the impact of the interventions; or revise the interventions as appropriate. UNAVOIDABLE PRESSURE ULCERS The resident developed a pressure ulcer even though the facility had: evaluated the resident s clinical condition and pressure ulcer risk factors; defined and implemented interventions that are consistent with resident needs, goals, and recognized standards of practice; monitored and evaluated the impact of the interventions; and revised the approaches as appropriate. Skin Changes At Life s End (SCALE) Kennedy Terminal Ulcer (KTU) is a type of pressure ulcer that some individuals develop as they are dying. It can be shaped like a pear, butterfly, or horseshoe, usually on the coccyx or sacrum but can occur in other areas. The ulcers can appear as red, yellow or black, occur suddenly, and usually indicate that death is imminent (Sibbald, Krasner et al 2008). SWRWC Toolkit: F.3 Pressure Ulcer Background and Introduction_June_21_2011 1
2 Instructions for use 3.2. Algorithm This algorithm has been provided by Systagenix for use in the SWRWC Toolkit. It is based on the Wound Bed Preparation algorithm, but incorporates many of the RNAO Best Practice Guidelines NPUAP Staging System for Pressure Ulcers (Updated 2007) Suspected Deep Stage I Stage II Stage III Stage IV Unstageable Tissue Injury Reproduction of the National Pressure Ulcer Advisory Panel (NPUAP) materials in this document does not imply endorsement by the NPUAP of any products, organizations, companies or statements made by any organization or company. The following definitions are available online at Suspected Deep Tissue Injury Evolution of DTI may include a thin blister over a dark wound bed become covered by thin eschar May heal or Evolution may be rapid, exposing additional layers of tissue even with optimal treatment. Blood blisters included in DTI & represent a deeper level of injury than a serum filled blister yet the true depth of tissue damage is not known. Stage I Intact skin with non blanchable redness of a localized area usually over a bony prominence. Darkly pigmented skin may not have visible blanching; its color may differ from the surrounding area. May be painful, firm, soft, warmer or cooler as compared to adjacent tissue. May indicate "at risk" persons (a heralding sign of risk) Stage II Partial thickness loss of dermis Shallow open ulcer with a red pink wound bed, without slough, or Intact or open/ruptured serum filled blister. shiny or dry shallow ulcer without slough or bruising. SWRWC Toolkit: F.3 Pressure Ulcer Background and Introduction_June_21_2011 2
3 * This stage should not be used to describe skin tears, tape burns, perineal dermatitis, maceration or excoriation. *Bruising indicates suspected deep tissue injury Stage III Full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon or muscle are not exposed or directly palpable Slough may be present but does not obscure the depth of tissue loss. May include undermining and tunneling. Depth varies by anatomical location: Shallow on bridge of the nose, ear, occiput and malleolus Extremely deep in areas of significant adiposity can develop stage III pressure ulcers. Stage IV Full thickness tissue loss with exposed bone, tendon or muscle. Slough or eschar may be present on some parts of the wound bed. Often include undermining and tunneling. The depth of a stage IV pressure ulcer varies by anatomical location: The bridge of the nose, ear, occiput and malleolus do not have subcutaneous tissue and these ulcers can be shallow. Can extend into muscle and/or supporting structures (e.g., fascia, tendon or joint capsule) making osteomyelitis possible. Exposed bone/tendon is visible or directly palpable. Unstageable Full thickness tissue loss in which the base of the ulcer is covered by slough (yellow, tan, gray, green or brown) and/or eschar (tan, brown or black) in the wound bed. Until enough slough and/or eschar is removed to expose the base of the wound, the true depth, and therefore stage, cannot be determined. NB*** Stable (dry, adherent, intact without erythema or fluctuance) eschar on the heels serves as "the body's natural (biological) cover" and should not be removed. SWRWC Toolkit: F.3 Pressure Ulcer Background and Introduction_June_21_2011 3
4 3.4 Self Care Teaching Tool and 3.5 Client/Patient Teaching and Learning Resources My Pressure Ulcer The SWCCAC has worked in collaboration with their contracted service providers to identify and create resources that will aid in the delivery of Best Practices for this client population. The CCAC version of the self care teaching tool and client handout are presented here. Once this version has been piloted in the SW in the summer of 2011, the Clinical Evaluation subcommittee working with the CCAC and other partners will look at making these into regional tools that can be adapted to all sectors. 3.6 Selection of Surfaces for Pressure Redistribution Ideally, a Physiotherapist or Occupational Therapist would complete a mat assessment and evaluate pressure with a pressure mapping unit. Please see Section 3.2 Interdisciplinary Pressure Ulcer Contributing Factors Assessment Tool. Based on pressure points/areas they will often connect with vendors to find a product fit that best meets the individual client needs. In Acute or Long Term Care settings where there is a contract with a specific pressure redistribution surface company, the companies generally provide laminated triage cards for each nursing station, but the appropriateness of the product for the individual client/patient/resident should be assessed by an OT or PT with this knowledge. The RNAO s Assessment & Management of Stage I to IV Pressure Ulcers has two suggested resources: Appendix F: Support Surface Considerations and Appendix G: Positioning and Support Surfaces A Checklist, available at: Evidence Based Clinical Interventions Determine client s goals New Pressure Ulcer Wound Initiative to be launched March 21 May 21, 2011 Healing Service Plan Wound Healing Client/caregiver teaching of wound care, prevention of recurrence Decrease dressing changes Maintenance Service Plan Maintain wound environment. Teach client/caregiver wound management. Goals may now be pain, exudate and odour control. Wound Assessment: Use a validated and reliable wound assessment tool and Stage Pressure ulcers per NPUAP Staging system (see 3.3) Other: Dietitian if nutritional deficiencies are identified. Optimize nutritional intake and general health status. SWRWC Toolkit: F.3 Pressure Ulcer Background and Introduction_June_21_2011 4
5 Braden Scale for Pressure Sore Risk and interventions based on identified risk e.g. continence issues= Nurse Continence Advisor referral OT assessment: Pressure redistribution surfaces are critical to prevention and healing. PT referral for : Mobilization/ mobility issues Adjunctive Therapy assessment if client has Spinal Cord Injury (SCI) (after June 1, 2011 in SWCCAC) Adjunctive Therapy assessment if wound has not healed at 3 months(after June 1, 2011 in SWCCAC) Healing Service Plan Principles of wound bed preparation: debridement, bacterial balance, exudate control, protect periwound skin. *NB Note that the RNAO BPGs for Assessment and Management of Stage I to IV Pressure Ulcers recommends that dressings should be selected based on the principles of moist wound healing For dry healing wounds: Hydrogel (to rehydrate) covered with Hydrocolloid, or occlusive/ semi occlusive exudate absorptive dressings For exudating healing wounds: Hydrofiber or alginate covered by exudate absorptive dressings Topical Negative Pressure therapy (VAC) may be appropriate following surgical intervention for Stage III or IV healable pressure ulcers (not eligible in SWCCAC for chronic wounds) For maintenance wounds Betadine soaked gauze and absorbent cover dressing Common Dressing Supplies* for infection/bacterial burden management See Section 3.3 Cover with exudate absorptive dressings. If unsure of the type of infection, choose a non occlusive dressing. Maintenance/ Palliative Service Plan Avoid higher cost advanced wound treatment and focus on exudate and odour management, quality of life issues. 3.8 Resources Keast D.H., Parslow, N. Houghton, PE., Norton,L. and Fraser, C. (2006) Best Practice Recommendations for the Prevention and Treatment of Pressure Ulcers: Update Wound Care Canada 4(1):R See PDF. Used with Permission. The RNAO Clinical Best Practice Guidelines for the Risk Assessment and Prevention of Pressure Ulcers and the Assessment and Management of Stage I IV Pressure Ulcers are available for free download at: and SWRWC Toolkit: F.3 Pressure Ulcer Background and Introduction_June_21_2011 5
6 References: Sibbald RG, Krasner DL, Lutz JB, et al. The SCALE Expert Panel: Skin Changes At Life s End. Preliminary Consensus Document. September SWRWC Toolkit: F.3 Pressure Ulcer Background and Introduction_June_21_2011 6
Position Statement: Pressure Ulcer Staging
Position Statement: Pressure Ulcer Staging Statement of Position The Wound, Ostomy and Continence Nurses (WOCN) Society supports the use of the National Pressure Ulcer Advisory Panel Staging System (NPUAP).
More informationHow To Stage A Pressure Ulcer
WOCN Society Position Statement: Pressure Ulcer Staging Originated By: Wound Committee Date Completed: 1996 Reviewed/Revised: July 2006 Revised: August 2007 Reviewed/Revised: April 2011 Definition of Pressure
More informationOASIS-C Integument Assessment: Not for Wimps! Part I: Pressure Ulcers
OASIS-C Integument Assessment: Not for Wimps! Part I: Pressure Ulcers Presented by: Rhonda Will, RN, BS, COS-C, HCS-D Assistant Director, OASIS Competency Institute 243 King Street, Suite 246 Northampton,
More information7/11/2011. Pressure Ulcers. Moisture-NOT Pressure. Wounds NOT Caused by Pressure
Assessment and Documentation of Pressure Ulcers Jeri Ann Lundgren, RN, BSN, PHN, CWS, CWCN Pathway Health Services July 19, 2011 Training Objectives Describe etiologies of pressure ulcers Discuss how to
More informationWOUND OSTOMY CONTINENCE NURSES SOCIETY GUIDANCE ON OASIS-C INTEGUMENTARY ITEMS
Wound Ostomy Continence Nurses Society Guidance on OASIS-C Integumentary Items WOCN OASIS Taskforce Members: Ben Peirce (Chairperson), RN, BA, CWOCN, COS-C Dianne Mackey, BSN, RN, PHN, CWOCN Laurie McNichol,
More informationPressure Ulcers Assessing and Staging. Anne Pirzadeh RN CWOCN University of Colorado Hospital June 2010
Pressure Ulcers Assessing and Staging Anne Pirzadeh RN CWOCN University of Colorado Hospital June 2010 Never Events: Pressure Ulcers Pressure Ulcer Codes: MD documentation of pressure ulcers determines
More informationPRESSURE ULCER GUIDELINES FOR TOPICAL TREATMENT
PRESSURE ULCER GUIDELINES FOR TOPICAL TREATMENT The following are suggested guidelines for treatment of pressure ulcers using products from Swiss-American Products, Inc. and are intended to supplement
More informationPressure Ulcers Risk Management and Treatment
Pressure Ulcers Risk Management and Treatment Objectives State reasons why individuals initiate lawsuits. Define strategies to reduce the risk of litigation. Determine appropriate treatment for the patient.
More informationPressure Ulcers in Neonatal Patients. Rene Amaya, MD Pediatric Specialists of Houston Infectious Disease/Wound Care
Pressure Ulcers in Neonatal Patients Rene Amaya, MD Pediatric Specialists of Houston Infectious Disease/Wound Care Objectives Review skin anatomy and understand why neonatal skin is at increased risk for
More informationWound, Ostomy and Continence Nurses Society s Guidance on OASIS-C1 Integumentary Items: Best Practice for Clinicians
Wound, Ostomy and Continence Nurses Society s Guidance on OASIS-C1 Integumentary Items: Best Practice for Clinicians Acknowledgments Wound, Ostomy and Continence Nurses Society s Guidance on OASIS-C1 Integumentary
More informationPressure Injury Prevention and Management Policy
Pressure Injury Prevention and Management Policy Owner (initiating the document): Dr Amanda Ling Contact name and number: Rachel Dennis (Ph: 9222 2197) Version: 1.5 Approved by: Professor Bryant Stokes,
More informationWound Classification Name That Wound Sheridan, WY June 8 th 2013
Initial Wound Care Consult Sheridan, WY June 8 th, 2013 History Physical Examination Detailed examination of the wound Photographs Cultures Procedures TCOM ABI Debridement Management Decisions A Detailed
More informationWound and Skin Assessment. Mary Carvalho RN, BSN, MBA Clinical Coordinator Johnson Creek Wound and Edema Center
Wound and Skin Assessment Mary Carvalho RN, BSN, MBA Clinical Coordinator Johnson Creek Wound and Edema Center Skin The largest Organ Weighs between 6 and 8 pounds Covers over 20 square feet Thickness
More informationSkin & Wound Care Prevention & Treatment. By Candy Houk, RN Skin & Wound Program Manager
Skin & Wound Care Prevention & Treatment By Candy Houk, RN Skin & Wound Program Manager OBJECTIVES Classify Stage 1 and 2 pressure ulcers Recognize suspected Stage 3, 4, DTI, and unstageable pressure ulcers
More informationSECTION M: SKIN CONDITIONS. M0100: Determination of Pressure Ulcer Risk. Item Rationale Health-related Quality of Life.
SECTION M: SKIN CONDITIONS Intent: The items in this section document the risk, presence, appearance, and change of pressure ulcers. This section also notes other skin ulcers, wounds, or lesions, and documents
More informationObjectives- Participants will:
Pressure Ulcer Staging Elizabeth A. Ayello PhD, RN, ACNS-BC, CWON, ETN, MAPWCA, FAAN Clinical Editor, Advances in Skin and Wound Care Faculty, Excelsior College School of Nursing Co-Director and Course
More informationPERFORMANCE MEASURE TECHNICAL SPECIFICATIONS
PERFORMANCE MEASURE TECHNICAL SPECIFICATIONS 1. Rate of Emergency Department Visits The number of visits experienced by PACE participants to acute care hospital Emergency Departments, urgent care clinics,
More informationPressure Ulcer Passport
Pressure Ulcer Passport Information for patients This is a record of the treatment you are receiving for your pressure ulcer injury. Please bring it with you to all your healthcare appointments. This will
More informationProtocol for Determining Neglect in the Development of a Pressure Ulcer
Protocol for Determining Neglect in the Development of a Pressure Ulcer Date of Implementation: October 2012 Date of Review: October 2014 National and Regional Context: This protocol is supported by the
More informationWOUND MANAGEMENT PROTOCOLS WOUND CLEANSING: REMOVING WOUND DEBRIS FROM WOUND BASE
WOUND MANAGEMENT PROTOCOLS PURPOSE: Provide nursing personnel with simple guidance regarding appropriate dressing selection in the absence of wound specialist expertise Identify appropriate interventions
More informationHow To Prevent Pressure Ulcer
Pressure ulcers prevention and treatment A Coloplast quick guide Table of Contents Pressure ulcers prevention and treatment... 3 What is a pressure ulcer?... 4 How do pressure ulcers occur?... 5 Who develops
More informationAPPLICATION OF DRY DRESSING
G-100 APPLICATION OF DRY DRESSING PURPOSE To aid in the management of a wound with minimal drainage. To protect the wound from injury, prevent introduction of bacteria, reduce discomfort, and assist with
More informationDiabetic Foot Ulcers and Pressure Ulcers. Laurie Duckett D.O. Plastic and Reconstructive Surgeon Oklahoma State University Center for Health Sciences
Diabetic Foot Ulcers and Pressure Ulcers Laurie Duckett D.O. Plastic and Reconstructive Surgeon Oklahoma State University Center for Health Sciences Lecture Objectives Identify risk factors Initiate appropriate
More information9/20/2013. Webinar Guidelines. September 26, 2013 12-1:00 pm ET. 1 hour presentation by Dr. Elizabeth Ayello including a discussion period at the end.
Medicaid Redesign Team Gold STAMP Project Webinar Staging, Measuring and Documenting Pressure Ulcers September 26, 2013 12-1:00 pm ET This project is funded through a Memorandum of Understanding with the
More informationWound Care: The Basics
Wound Care: The Basics Suzann Williams-Rosenthal, RN, MSN, WOC, GNP Norma Branham, RN, MSN, WOC, GNP University of Virginia May, 2010 What Type of Wound is it? How long has it been there? Acute-generally
More informationSummary of Recommendations
Summary of Recommendations *LEVEL OF EVIDENCE Practice Recommendations Assessment 1.1 Conduct a history and focused physical assessment. IV 1.2 Conduct a psychosocial assessment to determine the client
More informationReducing Hospital. of Pressure Damage. Spread the Learning and celebrate the successes
Reducing Hospital Acquired Pressure Ulcers Prevention & Management of Pressure Damage Spread the Learning and celebrate the successes Prevalence & Cost Prevalence ranges from 10% to 18% in the UK (Clark
More informationPressure injuries prevention and treatment
After 30 years in wound care, we at Coloplast believe that absorption is the key to better healing. Our Biatain portfolio brings superior absorption to daily wound care needs, making Biatain the simple
More informationIntroduction Suggested Citation
Introduction This Quick Reference Guide summarizes evidence-based guidelines on pressure ulcer prevention and treatment. It was developed as a 4-year collaborative effort between the European Pressure
More informationWound Healing. Healing is a matter of time, but it is sometimes also a matter of opportunity. Hippocrates
C HAPTER 9 Wound Healing Healing is a matter of time, but it is sometimes also a matter of opportunity. Hippocrates As the above quote suggests, conduct regular and systematic wound assessments, and seize
More informationREGION D MEDICARE GROUP 2 PRESSURE REDUCING SUPPORT SUFACE. Documentation Checklist Local Coverage Determination (LCD)
REGION D MEDICARE GROUP 2 PRESSURE REDUCING SUPPORT SUFACE Documentation Checklist Local Coverage Determination (LCD) Disclaimer: The ROHO Group gathered these documents from various sources as an educational
More informationIdentifying Hard to Detect Pressure Ulcers in Individuals
Identifying Hard to Detect Pressure Ulcers in Individuals with Dark Skin Tones Sheila Carter, MSN, RN FNP BC, CWON, CFCN Pam Damron, MSN, RN, CWON Patricia Moore, RN, ASN, CWCN Jennifer Vandiver, RN, BSN,
More informationPRA Disclosure Statement
PRA Disclosure Statement According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB
More informationBeverlin Allen, PhD, RN, MSN, ARNP
Pressure Ulcers & Nutritional Deficits in Elderly Long-Term Care Patients: Effects of a Comprehensive Nutritional Protocol on Pressure Ulcer Healing, Length of Hospital Stay & Health Care Charges Beverlin
More informationSkin/Wound Referral Resource
Skin/Wound Referral Resource This resource was designed by the University of Michigan Health System Multidisciplinary Pressure Ulcer Prevention Committee for nursing and physician use. This document s
More informationS O S TOOLKIT FOR PRESSURE ULCER PREVENTION AND TREATMENT SAV E O KL A HOMA S S K I N A SYSTEMS APPROACH TO QUALITY IMPROVEMENT IN HEALTH CARE
S O S SAV E O KL A HOMA S S K I N A SYSTEMS APPROACH TO QUALITY IMPROVEMENT IN HEALTH CARE TOOLKIT FOR PRESSURE ULCER PREVENTION AND TREATMENT S K I N A Systems Approach to Quality Improvement in Health
More informationHealth Care Protocol: Pressure Ulcer Prevention and Treatment Protocol. Protocol Reviewed with No Recommended Changes (March 2014):
Health Care Protocol: Pressure Ulcer Prevention and Treatment Protocol Protocol Reviewed with No Recommended Changes (March 2014): The ICSI Pressure Ulcer Prevention and Treatment Protocol were scheduled
More informationNPUAP PRESSURE ULCER ROOT CAUSE ANALYSIS (RCA) TEMPLATE
Purpose: The development of a facility acquired pressure ulcer brings with it both a financial impact to an institution and a performance or quality of care impact that may be reportable to state or government
More informationManaging cavity wounds Journal of Community Nursing March 1998 Author: Rosemary Pudner
Managing cavity wounds Journal of Community Nursing March 1998 Author: Rosemary Pudner It has been seen in recent years, that an increasing number of patients are being discharged early into the community,
More informationSilicone pressure-reducing pads for the prevention and treatment of pressure ulcers
S46 Product focus Silicone pressure-reducing pads for the prevention and treatment of pressure ulcers Abstract Pressure ulcers, a key quality of care indicator, cause emotional distress to the patient,
More information7/30/2012. Increased incidence of chronic diseases due
Dianne Rudolph, DNP, GNP bc, CWOCN Discuss management of wound care in older adults with focus on lower extremity ulcers Identify key aspects of prevention Explain basic principles of wound management
More informationFUNCTIONS OF THE SKIN
FUNCTIONS OF THE SKIN Skin is the largest organ of the body. The average adult has 18 square feet of skin which account for 16% of the total body weight. Skin acts as a physical barrier for you to the
More informationHCPCS AMERIGEL HYDROGEL DRESSINGS CODING GUIDANCE FOR:
HCPCS CODING GUIDANCE FOR: AMERIGEL HYDROGEL DRESSINGS FORM 1500 MUST HAVE THE FOLLOWING: APPROPRIATE HCPCS CODE APPROPRIATE A MODIFIER ACCURATE POS = 12 The Centers for Medicare and Medicaid Services
More informationIntroduction. Suggested Citation
Introduction This Quick Reference Guide summarizes evidence-based guidelines on pressure ulcer prevention and treatment. It was developed as a 4-year collaborative effort between the European Pressure
More informationNURSING DOCUMENTATION
NURSING DOCUMENTATION OBJECTIVES 1. The learner will be able to state 2 components of documentation that meet the 2. The learner will be able to identify 4 characteristics of a complete skin assessment
More informationAdult CCRN/CCRN E/CCRN K Certification Review Course: Integumentary and Musculoskeletal
Adult CCRN/CCRN E/CCRN K Certification Review Course: Integumentary and Musculoskeletal Carol Rauen RN BC, MS, PCCN, CCRN, CEN Integumentary IV infiltration Pressure ulcers Wounds Infectious Surgical Trauma
More informationPressure Ulcers: Facility Assessment Checklists
Pressure Ulcers: Facility Assessment Checklists This is a series of self-assessment checklists for nursing home staff to use to assess processes related to managing pressure ulcers in the facility, in
More informationINTERPROFESSIONAL WOUND MANAGEMENT COURSE:
INTERPROFESSIONAL WOUND MANAGEMENT COURSE: Part A Wound Management Principles and Wound Assessment. Part A: Sat. & Sun January 6&7, 2007 + Part B - Adjunctive Therapies including Electrical Stimulation
More informationTERM ABRIEVIATION DEFINITION PICTURE/DIAGRAM
Abrasion Wearing away of the skin through some mechanical process (friction or trauma) Abscess Localized collection of pus in any part of the body. Acute Wound Albumin A wound induced by surgery or trauma
More information5 Pressure Ulcer Classification
5 Pressure Ulcer Classification Carol Dealey and Christina Lindholm Introduction Pressure ulcer classification is a method of determining the severity of a pressure ulcer. A classification system describes
More informationTHE DEVELOPMENT OF A CARE BUNDLE FOR THE CRITICALLY ILL
PRESSURE ULCER PROPHYLAXIS THE DEVELOPMENT OF A CARE BUNDLE FOR THE CRITICALLY ILL Barb Duncan RN, BScN Heather Harrington RN, BScN, CNCC(c) Louanne Rich vanderbij, RN, BScN, MSc., WOCN CWCN Barb Duncan
More informationThe Role of Modern Wound Dressings in Stage I Pressure Ulcers and Patients at Risk of Pressure Ulcer Formation
The Role of Modern Wound Dressings in Stage I Pressure Ulcers and Patients at Risk of Pressure Ulcer Formation Helen Shaw, BSc (Hons), ConvaTec Research and Development Rachel Mathison, Msc, BSc (Hons),
More informationPressure Ulcer Grading and POVA Referral Procedure
Pressure Ulcer Grading and POVA Referral Procedure Version Number: 1 Page 1/13 -Contents- Page 1. Introduction 3 2. Aim 3 3. Procedure 3 4. Responsibilities 4 5. Implementation and Training 4 6. Equality
More informationIllinois Department of Public Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION. Statement of LICENSURE Violations
(X1) PROVER/SUPPLIER/CLIA ENTIFICATION NUMBER: (X3) SURVEY D NAME OF PROVER OR SUPPLIER (X4) SUMMARY REGULATORY OR LSC ENTIFYING INFORMATION) PROVER'S PLAN OF CORRECTION Final Observations Statement of
More informationAnyone who has difficulty moving can get a pressure sore. But you are more likely to get one if you:
Patient information from the BMJ Group Pressure sores Anyone can get a pressure sore if they sit or lie still for too long without moving. People who are old or very ill are most likely to get them. Careful
More informationTreating Pressure Ulcers: When, How and What to expect when using MEDIHONEY and the primary topical intervention
Treating Pressure Ulcers: When, How and What to expect when using MEDIHONEY and the primary topical intervention Presenter: Peg Manochi, RN, BSN, WCC, CWCN Clinical Field Specialist Derma Sciences, Clinical
More informationThe Role of Modern Wound Dressings in Stage I Pressure Ulcers and Patients at Risk of Pressure Ulcer Formation
The Role of Modern Wound Dressings in Stage I Pressure Ulcers and Patients at Risk of Pressure Ulcer Formation Helen Shaw, BSc (Hons), ConvaTec Research and Development Rachel Mathison, Msc, BSc (Hons),
More informationCommon Pathology Diagnoses: ICD-9 to ICD-10 Mapping
PERFORMANCE THAT MATTERS NUMBER OF CODES 14,000 69,000 ICD-9 DIAGNOSIS CODES ICD-10 DIAGNOSIS CODES CODE STRUCTURE ICD-9-CM CODE FORMAT ICD-10-CM CODE FORMAT X X X X X X X X X X X X CATEGORY ETIOLOGY,
More informationRENFREW VICTORIA HOSPITAL SKIN AND WOUND CARE PROGRAM TRAINING RISK ASSESSMENT OF SKIN BREAKDOWN AND TREATMENT OF WOUNDS AND PRESSURE ULCERS
RENFREW VICTORIA HOSPITAL SKIN AND WOUND CARE PROGRAM TRAINING RISK ASSESSMENT OF SKIN BREAKDOWN AND TREATMENT OF WOUNDS AND PRESSURE ULCERS SELF-LEARNING MODULE For Registered Nurses and Registered Practical
More informationCENTRAL WEST COMMUNITY CARE ACCESS CENTRE. Wound Care Guidelines
CENTRAL WEST COMMUNITY CARE ACCESS CENTRE Wound Care Guidelines The Wound Care Management Program (the "WCMP") has been developed by Health Outcomes Worldwide in collaboration with the CW CCAC Wound Care
More informationUse of a Pressure Ulcer Protocol: Benefits and Recommendations
Use of a Pressure Ulcer Protocol: Benefits and Recommendations Elizabeth L. Enriquez RN,BSN,MPH,CWOCN Wound Care Specialist/Infection Control Morningiside House 1000 Pellham Parkway, Bronx, NY 10461 Wound
More informationWhat dressing for what wound. Prudence Lennox National Clinical Leader Healthcare Rehabilitation Ltd
What dressing for what wound Prudence Lennox National Clinical Leader Healthcare Rehabilitation Ltd Wound assessment Accurate wound assessment is a prerequisite to planning appropriate care & should adopt
More informationUnraveling the Pressure Ulcer and Wound Care Sections of OASIS-C
Special Feature Unraveling the Pressure Ulcer and Wound Care Sections of OASIS-C by Clay E. Collins, RN, BSN, CWOCN, CFCN, CWS It s finally here! The long-awaited OASIS-C data collection tool for home
More informationWorking together to prevent pressure ulcers (prevention and pressure-relieving devices)
Working together to prevent pressure ulcers (prevention and pressure-relieving devices) Understanding NICE guidance information for people at risk of pressure ulcers, their carers, and the public Draft
More informationBest Practice in Prevention and Treatment of Pressure Ulcers. Objectives. Accreditation Canada 2015. Sheila Moffatt
Best Practice in Prevention and Treatment of Pressure Ulcers Sheila Moffatt RN BN CRN(c) IIWCC Pressure Ulcer Prevention Coordinator Objectives Discuss Accreditation Canada Required Organizational Practices
More informationPressure Ulcers in the ICU Incidence, Risk Factors & Prevention
Congress of the Critical Care Society of South Africa Sun City, 10-12 July 2015 Pressure Ulcers in the ICU Incidence, Risk Factors & Prevention Stijn BLOT Dept. of Internal Medicine Faculty of Medicine
More informationWHAT IS INCONTINENCE?
CNA Workbook WHAT IS INCONTINENCE? Incontinence is the inability to control the flow of urine or feces from your body. Approximately 26 million Americans are incontinent. Many people don t report it because
More informationCOMPLIANCE WITH THIS DOCUMENT IS MANDATORY
COVER SHEET NAME OF DOCUMENT Wound Wound Assessment and Management TYPE OF DOCUMENT Procedure DOCUMENT NUMBER SESLHDPR/297 DATE OF PUBLICATION April 2014 RISK RATING Medium LEVEL OF EVIDENCE N/A REVIEW
More informationUse of a Soft Silicone Bordered Sacrum Dressing to Reduce Pressure Ulcer Formation in Critically Ill Patients: A Randomized Clinical Trial
Use of a Soft Silicone Bordered Sacrum Dressing to Reduce Pressure Ulcer Formation in Critically Ill Patients: A Randomized Clinical Trial Peggy Kalowes RN, PhD, CNS, FAHA Principal Investigator Director,
More informationSkin Care Educational Pocket Guide
Skin Care Educational Pocket Guide Moisture-Associated Skin Damage Moisture-Associated Skin Damage is the injury to the skin by repeated or sustained exposure to moisture. Intertriginous dermatitis Incontinence-associated
More informationWound Healing Community Outreach Service
Wound Healing Community Outreach Service Wound Management Education Plan January 2012 December 2012 Author: Michelle Gibb Nurse Practitioner Wound Management Wound Healing Community Outreach Service Institute
More informationSKIN CARE & WOUND MANAGEMENT POLICY AND PROCEDURE
Department: Description: Adventist Aged Care Document Name: Skin Care and Wound Management 14/04/2014 SKIN CARE & WOUND MANAGEMENT POLICY AND PROCEDURE TABLE OF CONTENTS 1.0 PURPOSE... 2 2.0 SCOPE... 2
More informationSince its introduction almost 20
Guidelines for safe negative-pressure wound therapy Rule of thumb: Assess twice, dress once By Ron Rock MSN, RN, ACNS-BC Since its introduction almost 20 years ago, negative-pressure wound therapy (NPWT)
More informationQuality standard Published: 11 June 2015 nice.org.uk/guidance/qs89
Pressure ulcers Quality standard Published: 11 June 2015 nice.org.uk/guidance/qs89 NICE 2015. All rights reserved. Contents Introduction... 6 Why this quality standard is needed... 6 How this quality standard
More informationUnderstand nurse aide skills needed to promote skin integrity.
Unit B Resident Care Skills Essential Standard NA5.00 Understand nurse aide s role in providing residents hygiene, grooming, and skin care. Indicator Understand nurse aide skills needed to promote skin
More informationWound Management A Nurse s Guide
VEA Bringing Learning to Life Program Support Notes Wound Management A Nurse s Guide Health Care 20 mins Teacher Notes by Tracey MacFadyen, Registered nurse is RN. Clinical Nurse Educator Produced by VEA
More informationReport a number that is zero filled and right justified. For example, 11 visits should be reported as 011.
OASIS ITEM (M2200) Therapy Need: In the home health plan of care for the Medicare payment episode for which this assessment will define a case mix group, what is the indicated need for therapy visits (total
More informationOASIS-C to OASIS-C1 Crosswalk Guide
OASIS-C to OASIS-C1 Crosswalk Guide Developed by Strategic Healthcare Programs www.shpdata.com Includes ICD-9 Coding errors mean returned claims, delayed payments, and hours of re-work and the coming transition
More informationPatient Safety Call to Action. Road Map to a Comprehensive Skin Safety Program
Road Map to a Comprehensive Program Road Map to a Comprehensive Program S A F E S K I N based on the ICSI Protocol, Adverse Health Event Learnings I n f r a s t ru c t u r e S Coordination and Team Approach
More informationIntroduction to Wound Management
EWMA Educational Development Programme Curriculum Development Project Education Module: Introduction to Wound Management Latest revision: October 2012 ABOUT THE EWMA EDUCATIONAL DEVELOPMENT PROGRAMME The
More informationOutcome-Based Pathways WOUND CARE
Outcome-Based Pathways WOUND CARE Overview, Guidelines and Glossary Table of Contents Overview... 2 Outcome-Based Pathway Structure... 3 Guidelines for Use... 5 Outcome Terminology... 8 Pathway Stoppage
More informationPressure Ulcer Prevention
A Reference Guide for Community Health Care Teams To be used in conjunction with the; Nottingham CityCare Partnership Policy for the Prevention of Pressure Ulcers Useful links Pressure Ulcer Prevention
More informationClinical guideline Published: 23 April 2014 nice.org.uk/guidance/cg179
Pressure ulcers: prevention ention and management Clinical guideline Published: 23 April 2014 nice.org.uk/guidance/cg179 NICE 2014. All rights reserved. Your responsibility The recommendations in this
More informationA REVIEW OF PRESSURE ULCERS
A REVIEW OF PRESSURE ULCERS VIGILANCE, ASSESSMENT, PREVENTION AND TREATMENT Brijesh Patadia, MD* Eliot Mostow, MD, MPH PRESENTATION OVERVIEW Introduction of Subject Statistics Pressure Sore Staging Pictures
More informationOASIS-C Integument Assessment: Not for Wimps! Part II: Stasis Ulcers and Surgical Wounds
OASIS-C Integument Assessment: Not for Wimps! Part II: Stasis Ulcers and Surgical Wounds Presented by: Rhonda Will, RN, BS, COS-C, HCS-D Assistant Director, OASIS Competency Institute 243 King Street,
More informationEPIDEMIOLOGY COMPLICATIONS FROM PRESSURE ULCERS
CHAPTER 30 PRESSURE ULCERS EPIDEMIOLOGY COMPLICATIONS FROM PRESSURE ULCERS RISK FACTORS AND RISK-ASSESSMENT SCALES PREVENTION MANAGEMENT ANNOTATED REFERENCES Pressure ulcers are a serious and common problem
More informationHow To Know What A Pressure Ulcer Is
Pressure Ulcers ecourse: Module 2 Quiz I 1. Blck, brown or tn tissue tht dheres firmly to the wound bed or ulcer edges nd my be either firmer or softer thn surrounding tissue is:. Eschr b. Slough c. Grnultion
More informationPROCEDURE FOR PRESSURE ULCER PREVENTION AND MANAGEMENT
PROCEDURE FOR PRESSURE ULCER PREVENTION AND MANAGEMENT First Issued Issue Version Purpose of Issue/Description of Change Planned Review Date One To outline evidence based practice for the Prevention and
More informationPolicies & Procedures. Title: I.D. Number: 1160
Policies & Procedures Title: NEGATIVE PRESSURE WOUND THERAPY (NPWT) I.D. Number: 1160 Authorization: [X] SHR Nursing Practice Committee Source: Nursing Date Revised: March, 2010 Date Effective: November,
More informationWound Assessment. Michelle Moore RN, MSN, WCC Wound Care Education Institute
Michelle Moore RN, MSN, WCC Wound Care Education Institute WOUND ASSESSMENT Michelle Moore RN, MSN, WCC Wound Care Education Institute www.wcei.net Objectives: Upon completion of this program, the participant
More informationGuideline: Wound Bed Preparation for Healable and Non-Healable Wounds in Adults & Children 1
Developed by the BC Provincial Nursing Skin and Wound Committee in collaboration with Wound Clinicians from: TITLE Guideline: Wound Bed Preparation for Healable and Non-Healable Wounds in Adults & Children
More informationA Pocket Guide. Application and Cutting Guide
A Pocket Guide Application and Cutting Guide Developed by Pia Carlsen, RN, Denmark Jacqui Fletcher, Principal Lecturer, MSc BSc (Hons) PG Dip (ED) RN ILT, UK Maria Mousley, AHP, Consultant Podiatrist,
More informationHospital ID: SS ID: NHS No: NI No: Surname: Forename: D.O.B:
FUNDED NURSING CARE ASSESSMENT Overview Assessment Please attach demographic information form Hospital ID: SS ID: NHS No: NI No: Surname: Forename: : Date of Assessment Location of Assessment: When assessing
More informationAn Overview of Skin and Pressure Area Management In Adults with Spinal Cord Injuries
Rural Spinal Cord Injury Project A collaborative project between: Prince Henry & Prince of Wales Hospital Royal North Shore Hospital Royal Rehabilitation Centre Sydney June 2005 Spinal Cord Injuries Australia
More informationPressure Ulcers. Occupational Therapy. This leaflet is for both yourself and Carers
Pressure Ulcers Occupational Therapy This leaflet is for both yourself and Carers Contents What is a pressure ulcer? 3 Who is at risk of developing a pressure ulcer? 4 How can I avoid developing a pressure
More informationPressure Sores (Decubitus Ulcers)
Pressure Sores (Decubitus Ulcers) Judith Stevens, M.Ed. With thanks to Dr. Toni Benton, Jennifer Thorne-Lehman, Araceli Domingo for contributing resource information. Thanks to Ann Chase Stevens for sharing
More informationToronto Best Practice Implementation Steering Committee
Developed by: Toronto Best Practice in LTC Initiative March 2006 1 Toronto Best Practice Implementation Steering Committee Helen Ferley, Co-Chair Administrator Seniors Health Centre North York General
More informationTAKING CARE OF WOUNDS KEY FIGURE:
Chapter 9 TAKING CARE OF WOUNDS KEY FIGURE: Gauze Wound care represents a major area of concern for the rural health provider. This chapter discusses the treatment of open wounds, with emphasis on dressing
More informationPreventing pressure ulcers
Golden Jubilee National Hospital NHS National Waiting Times Centre Preventing pressure ulcers Patient information guide for adults at risk of pressure ulcers Agamemnon Street Clydebank, G81 4DY (: 0141
More information