Berke CT
Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy an.... Date of publication 2019 Nov 1;volume 46(6):539-542.
1. J Wound Ostomy Continence Nurs. 2019 Nov/Dec;46(6):539-542. doi:
10.1097/WON.0000000000000596.
Friction Injury Versus Deep Tissue Injury: Level of Tissue Involvement: A
Comparison of 2 Cases.
Berke CT(1).
Author information:
(1)Christine Thies Berke, MSN, APRN-NP, CWOCN-AP, AGPCNP-BC, 981201 Nebraska
Medicine, Omaha.
Erratum in
J Wound Ostomy Continence Nurs. 2020 Mar/Apr;47(2):196.
BACKGROUND: Friction injuries are postulated to be caused by acute or chronic
abrasive/friction forces during sliding, scooting, or slouching behaviors
prevalent in individuals with impaired mobility and particularly when
transferring and repositioning.
CASES: Patient histories for 2 cases were collected for determination of wound
etiology. Outpatient wound clinic visits including photographic documentation for
both cases were reviewed, compared, and contrasted for level of tissue
involvement with each wound type/etiology. With serial sharp debridement of both
wounds, differences were noted in level of tissue involvement/destruction.
Healing progression and scarring were also different for both wounds.
CONCLUSION: A comparison of 2 cases is presented to compare and contrast level of
tissue involvement and destruction in an acute friction injury (top-down) versus
a deep tissue injury (bottom-up). The importance of knowing a wound's history is
critical for accurate diagnosis and coding.
DOI: 10.1097/WON.0000000000000596
PMID: 31738308 [Indexed for MEDLINE]
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