Maklebust J
Clinics in geriatric medicine. Date of publication 1997 Aug 1;volume 13(3):455-81.
1. Clin Geriatr Med. 1997 Aug;13(3):455-81.
Pressure ulcer assessment.
Maklebust J(1).
Author information:
(1)Harper Hospital, Detroit Medical Center, Detroit, Michigan 48201, USA.
Pressure ulcer assessment requires quantification of multiple parameters of the
ulcer and periulcer tissue. Clinical assessment should include ulcer history
(including etiology, duration, and prior treatment), anatomic location, stage,
size (including length, width, and depth measured in centimeters), sinus tracts,
undermining, tunneling, exudate or drainage, necrotic tissue (slough and eschar),
presence or absence of granulation tissue, and epithelialization. In addition,
the ulcer borders can provide clues to healing potential. Intact skin surrounding
the ulcer should be assessed for redness, warmth, induration or hardness,
swelling, and any obvious signs of clinical infection. Pressure ulcer associated
pain should be assessed prior to examination of the ulcer.
PMID: 9227939 [Indexed for MEDLINE]
