Ulcers - Decubitus only: Difference between revisions

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{{~~DX tag | Dermatological Non-Infectious |~~ | ~~Ulcers -~~ Decubitus ~~only | ULCERS - DECUBITUS only | [[94500 - Ulcers - Decubitus only]] | No | 0 | | | | '''~~}}*Stages are as follows:'''

{{PreICD10 dx

| NewDxArticle = Decubitus (pressure) ulcer, stage not indicated}}

*STAGE 1-surface reddening ~~of skin~~

{{PreICD10 dx

*STAGE 2-just under skin

| NewDxArticle = Decubitus (pressure) ulcer, Stage I (surface reddening)

*STAGE 3-deep-to muscle

}} {{PreICD10 dx

*STAGE 4-full layer-to bone--[[User:CMarks|~~CMarks]] 15:33~~, ~~24 August 2009~~ (~~CDT~~)

| NewDxArticle = Decubitus (pressure) ulcer, Stage II (to fascia, just under skin)

}} {{PreICD10 dx

| NewDxArticle = Decubitus (pressure) ulcer, Stage III (deep, to but not including muscle)

}} {{PreICD10 dx

| NewDxArticle = Decubitus (pressure) ulcer, Stage IV (involves muscle, tendon, or bone)

}}

~~==Comment==~~

{{~~Discussion}}~~

[https://en.wikipedia.org/wiki/Pressure_ulcer for more info see: Wikipedia]

*~~Are collectors able to easily pick up from charts if patient has a decubitus ulcer?~~ ~~Reason I am asking is that one site is reporting a high number of bedsores compared to others? Wondering if there collection practice differences?~~-~~-[[User:TOstryzniuk|TOstryzniuk]] 15:00, 30 April 2010~~ (~~CDT~~)

**~~HSC B3~~- ~~Pat is finding that there is poor documentation on charts about when and decubitus ulcer present on admission or when acquired after coming~~ to ~~a ward. (exception, HSC_D5 is excellent with documentation.~~ Stage of ~~ulcer~~ is ~~rarely documented~~ in the chart~~. Pat looks at~~ the ~~nursing FLOW SHEET for indication of some sort of a dressing change that would clue her in that there may be a~~ bed ~~sore. Pat will then track down a bedside nurse to find out what dressing is for and if bedsore what would~~ be ~~the~~ stage. ~~Most time it is a guess because of poor documentation by both Doc and Nurse.[[User~~: ~~PStein | PStein]]~~

{{DX tag | Dermatological Non-Infectious | Medical Problem | Ulcers - Decubitus only | ULCERS - DECUBITUS only |

*94500 - Ulcers - Decubitus only (''generic'')

*94501 - Stage 1 - surface reddening of skin

*94502 - Stage 2 - just under skin

*94503 - Stage 3 - deep-to muscle

*94504 - Stage 4 - full layer-to bone

*94505 - Unstageable - can't see wound bed

| No | 0 | | | 2004 | }}

== When to use the generic dx ==

Use the generic entry when one of the following is true:

* the wound was not assessed

* there was insufficient info in the chart to determine stage

== When to use the Unstageable dx ==

Wound bed can't be seen so true stage can't be determined.

==Start Dates==

*2017-Aug-24: unstageable

*2004-Jun: Med

*2004-Jan: ICU

@@ Line 1: / Line 1: @@
-{{DX tag | Dermatological Non-Infectious |  | Ulcers - Decubitus only | ULCERS - DECUBITUS only | [[94500 -  Ulcers - Decubitus only]] | No | 0 |  |  |  | '''}}*Stages are as follows:'''
+{{PreICD10 dx
+| NewDxArticle = Decubitus (pressure) ulcer, stage not indicated}}
-*STAGE 1-surface reddening of skin
+{{PreICD10 dx
-*STAGE 2-just under skin
+| NewDxArticle = Decubitus (pressure) ulcer, Stage I (surface reddening)
-*STAGE 3-deep-to muscle
+}} {{PreICD10 dx
-*STAGE 4-full layer-to bone--[[User:CMarks|CMarks]] 15:33, 24 August 2009 (CDT)
+| NewDxArticle = Decubitus (pressure) ulcer, Stage II (to fascia, just under skin)
+}} {{PreICD10 dx
+| NewDxArticle = Decubitus (pressure) ulcer, Stage III (deep, to but not including muscle)
+}} {{PreICD10 dx
+| NewDxArticle = Decubitus (pressure) ulcer, Stage IV (involves muscle, tendon, or bone)
+}}
-==Comment==
-{{Discussion}}
+[https://en.wikipedia.org/wiki/Pressure_ulcer  for more info see: Wikipedia]
-*Are collectors able to easily pick up from charts if patient has a decubitus ulcer?  Reason I am asking is that one site is reporting a high number of bedsores compared to others? Wondering if there collection practice differences?--[[User:TOstryzniuk|TOstryzniuk]] 15:00, 30 April 2010 (CDT)
-**HSC B3- Pat is finding that there is poor documentation on charts about when and decubitus ulcer present on admission or when acquired after coming to a ward. (exception, HSC_D5 is excellent with documentation. Stage of ulcer is rarely documented in the chart.  Pat looks at the nursing FLOW SHEET for indication of some sort of a dressing change that would clue her in that there may be a bed sore. Pat will then track down a bedside nurse to find out what dressing is for and if bedsore what would be the stage.  Most time it is a guess because of poor documentation by both Doc and Nurse.[[User: PStein | PStein]]
+{{DX tag | Dermatological Non-Infectious | Medical Problem | Ulcers - Decubitus only | ULCERS - DECUBITUS only |
+*94500 -  Ulcers - Decubitus only (''generic'')
+*94501 -  Stage 1 - surface reddening of skin
+*94502 -  Stage 2 - just under skin
+*94503 -  Stage 3 - deep-to muscle
+*94504 -  Stage 4 - full layer-to bone
+*94505 -  Unstageable - can't see wound bed
+| No | 0 |  |  | 2004 | }}
+== When to use the generic dx ==
+Use the generic entry when one of the following is true:
+* the wound was not assessed
+* there was insufficient info in the chart to determine stage
+== When to use the Unstageable dx ==
+Wound bed can't be seen so true stage can't be determined.
+==Start Dates==
+*2017-Aug-24: unstageable
+*2004-Jun: Med
+*2004-Jan: ICU