Updating of the npuap staging system Dating webcam 100 free

Posted by / 08-Jun-2017 21:14

Updating of the npuap staging system

Identify the changes in the 2016 NPUAP staging system.Identify pressure injury prevention and treatment strategies 4 Process Task force appointed in 2014 to review current staging terms Laura Edsberg, Laurie Mc Nichol, Margaret Goldberg, Lynn Moore, Mary Siegreen and Joyce Black Over 3000 papers reviewed Draft definitions sent out for review and comment Consensus meeting held April Since April Staging system endorsed by Wound, Ostomy and Continence nurses Society (WOCN) Centers for Medicare and Medicaid Services (CMS) for upcoming work The Joint Commission World Health Organization for ICD-11 Many health care organizations Many health care associations Except Association for the Advancement of Wound Care (AAWC) Pointed negative statements about the use of the word injury, the consensus process and even the task force members 2 Why the word injury?Stage 1 and Deep Tissue Injury were never ulcers An ulcer cannot be present without an injury, but an injury can be present without an ulcer 7 Is there greater legal exposure?Legal cases on pressure injury/ulcer begin because: The patient or family has an expected outcome which leads to frustration or anger The standard of care was not met The pressure injury was avoidable Cases are not brought forth because of their name 8 Does the word injury makes these cases more litigable?

Cleanse the wound to remove any loose tissue or other debris 49 Pressure Injury Staging: Additional Documentation History of injury (if known) Date of discovery, including Stage Location Use anatomical terms Note medical or other device in use Measurements Length, width, depth, tunnels, undermining Wound characteristics Wound bed appearance, amount of drainage, odor, periwound skin condition, etc.Discoloration may appear differently in darkly pigmented skin.This injury results from intense and/or prolonged pressure and shear forces at the bone-muscle interface Deep Tissue Pressure Injury The wound may evolve rapidly to reveal the actual extent of tissue injury, or may resolve without tissue loss.44 Medical Device Related Pressure Injury Examples Stage 1 Stage 2 Stage 3 45 Stage 4 Unstageable Deep Tissue Pressure Injury 15 Mucosal Membrane Pressure Injury Mucosal membrane pressure injury is found on mucous membranes with a history of a medical device in use at the location of the injury.Due to the anatomy of the tissue these ulcers cannot be staged.

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This phase can be mistaken for skin tears Deep Tissue Pressure Injury Definition Do not use Deep Tissue Pressure Injury (DTPI) to describe vascular, traumatic, neuropathic, or dermatologic conditions.

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