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Skin and Wound & Documentation

• Cannot reverse staging—3 down to 2—the wound will ne ver gain 100% of strength back and will always be prone to breakdown • Ulcer filled with granulation tissue, not muscle or fat or dermis prior to re-epithelialization. (NPUAP 2001) • Refer to Skin & Wound Presentation • Use of tools such as Braden Scale

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  Documentation, Wound, Staging, Skin, Npuap, Skin and wound amp documentation

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