Pressure Ulcer Assessment

From Anvita Health Wiki

Contents 1 More Specific Terms 2 Procedure 3 More General Terms 4 Additional Terms 5 References

More Specific Terms

• pressure sore status tool (PSST); Bates-Jensen wound assessment tool
• pressure ulcer scale for healing (PUSH)

Procedure

• use pressure assessment tools
• total patient assessment

• pressure ulcer risk scale
• history & physical examination
• nutritional status
• pain, provision of adequate analgesia
• psychosocial health

• frequency & timing

• initial assessment of admission to hospital or nursing home is not as reliable as 2nd assessment 24 hours later
• acute care setting: on admission, 48 hours later, then QD
• medical/ surgical: on admission, 48 hours later, then QD
• nursing home:

• on admission, 48 hours later, then weekly for 4 weeks
• after 4 weeks, on a routine basis, i.e. quarterly

• home care:

• on admission, 48 hours later, then on a routine basis i.e. weekly

More General Terms

• wound assessment

Additional Terms

• pressure ulcer risk scale

References

Bates-Jensen B. In: Intensive Course in Geriatric Medicine & Board Review, Marina Del Ray, CA, Sept 12-15, 2001

pressure ulcer assessment