PRESSURE ULCERS-ASSESSMENT
From NeuroRehab.wiki
SUMMARY
The following characteristics should be noted:
1. Site
2. Size
3. Stage
4. Edge: sloping (venous), punched out (arterial), heaped (malignancy)
5. Wound bed: presence of necrosis, underlying structures visible, presence of sinus tracts
6. Surrounding tissue: erythema, induration, edema, cellulitis
7. Exudate: odor, color, volume
8. Surrounding lymphadenopathy
9. Neuro-vascular status
Reference(s)
Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.
