Ulcers - Decubitus only: Difference between revisions
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*STAGE 4-full layer-to bone--[[User:CMarks|CMarks]] 15:33, 24 August 2009 (CDT) | *STAGE 4-full layer-to bone--[[User:CMarks|CMarks]] 15:33, 24 August 2009 (CDT) | ||
== | ==Comment== | ||
*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]] | *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]] | ||
Revision as of 22:58, 2010 April 25
Legacy Content
This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Decubitus (pressure) ulcer, Stage I (surface reddening), Decubitus (pressure) ulcer, Stage II (to fascia, just under skin), Decubitus (pressure) ulcer, Stage III (deep, to but not including muscle), Decubitus (pressure) ulcer, stage not indicated, Decubitus (pressure) ulcer, Stage IV (involves muscle, tendon, or bone)Click Expand to show legacy content.
| edit dx infobox | |
| Category/Organ System: |
Category: Dermatological Non-Infectious (old) |
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Type: |
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| Main Diagnosis: | Ulcers - Decubitus only |
| Sub Diagnosis: | ULCERS - DECUBITUS only |
| Diagnosis Code: | 94500 - Ulcers - Decubitus only |
| Comorbid Diagnosis: | No |
| Charlson Comorbid coding (pre ICD10): | 0 |
| Program: | |
| Status: | |
| StopDate: | "" contains an extrinsic dash or other characters that are invalid for a date interpretation. |
- STAGE 1-surface reddening of skin
- STAGE 2-just under skin
- STAGE 3-deep-to muscle
- STAGE 4-full layer-to bone--CMarks 15:33, 24 August 2009 (CDT)
Comment
- 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. PStein