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ARCHIVES - 2005 NEWS

 
WOCN Society Response to NPUAP White Papers: Deep Tissue Injury, Stage I Pressure Ulcers, and Stage II Pressure Ulcers

The following descriptor for deep tissue injury has been excerpted from Joyce M. Black, PhD, RN; Steven B. Black, MD, FACS Wounds 15(11):380, 2003. ? 2003 Health Management Publications, Inc. "Deep tissue injury is an evolving term to describe a variation of pressure ulcers that appear initially as bruised or dark tissue.[1] Historically, these lesions have been called malignant lesions,[2] closed pressure ulcers,[3] and purple or evolving pressure ulcers in clinical records. The location of injury is the muscle bed or subcutaneous fat. The skin is usually intact at the time of initial assessment and may be described as a form of a stage 1 pressure ulcer.[4] However, its rapid deterioration to a full-thickness injury is unlike a true stage 1, which is a resolvable lesion. Areas of superficial blistering or broken blisters appear within 24 hours, similar to those seen with fractures or ischemic flaps. The tissues evolve to appear necrotic superficially on the sacrum or heel and can evolve into full-thickness ulcers despite the best of care. Complete offloading, with the patient turning only from side to side, was used in this case along with a low air-loss bed."

References:
  1. NPUAP. Deep Tissue Injury Task Force. Reston, VA: National Pressure Ulcer Advisory Panel, 2002.
  2. Groth KE. Clinical observations and experimental studies on the origin of decubiti. Acta Clin Scand 1942;87(76 Suppl):1-209.
  3. Shea JD. Pressure sores: Classification and management. Clinical Orthopedics 1875;112:89-100.
  4. Russell L. Pressure ulcer classification: Defining early skin damage. Br J Nurs 2002;11(16):33-41.
  5. Daniel RK, Kerrigan CL. Principles and physiology of skin flap surgery. In: McCarthy J (ed). Plastic Surgery. Philadelphia, PA: WB Saunders, 1990:275-328.
  6. Russell L. Pressure ulcer classification: Defining early skin damage. Br J Nurs 2002;11(16):S33-S41.

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Wound Care Strategies appoints Lucinda J. Rook, RN, CPC as Coding and Documentation Analyst

For more information, please read the press release.(PDF format)
 



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