Pressure Injuries: Assessment: Recognize Cues

Question 1

what should be documented when documenting about pressure injuries

Answer 1

Document location, size, color, extent of tissue
involvement, cell types in wound base and
margin, exudate, condition of surrounding tissue,
presence of foreign bodies

Question 2

what should be recorded when assessing pressure injuries

Answer 2

Record by length, width, depth (using mm or cm)

Question 3

describe clock concept

Question 4

what is the laboratory assessment for pressure injuries

Answer 4

wound culture

Question 5

what are the other diagnostic assessment

Answer 5

Arterial blood flow studies if arterial occlusion
is suspected
➢ Duplex ultrasound imaging
➢ Blood tests for nutritional deficiencies