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Reference for Wound Documentation

Copyright 2018 Gordian Medical Inc., dba American Medical Technologies. Reference for Wound Documentation Document Wound Etiology/Cause Describe the Anatomic Location of Wound + Wound location should be documented using the correct anatomical Aspect Heel Dorsal Aspect +Document the cause of the Wound : pressure, venous, arterial, neurotrophic, surgical, 2018 Gordian Medical Inc., dba American Medical Technologies. Document the Stage (Only if Pressure Ulcer/ injury ) + Stage 1 Intact skin with a localized area of non-blanchable erythema, which may appear differently in darkly pigmented skin.

deep tissue pressure injury. + Stage 2 Partial-thickness loss of skin with exposed dermis. The wound bed is viable, pink or red, moist, and may also present as an intact or ruptured serum-filled blister. Adipose (fat) is not visible and deeper tissues are not visible. Granulation tissue, slough and eschar are not present.

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