presented by Jeri Lundgren
Accurate assessment of a pressure injury is important, as it is the foundation to determine and evaluate the course of treatment. This course will provide you with the information needed to complete a comprehensive assessment of a pressure injury. The National Pressure Ulcer Advisory Panel (NPUAP) pressure injury definitions and staging system will be discussed, as well as wound measurement, wound base description, peri-wound, drainage, odor, tunneling, undermining, and pain assessment. You will also have an opportunity to practice staging, measuring, and describing a pressure injury.
Jeri Lundgren is a Registered Nurse who has been specializing in post-acute care since 1990. She has a Bachelor of Science degree in nursing. Ms. Lundgren is board-certified as a Certified Wound Care Nurse (CWCN) by the WOCN Society and a Certified Wound Specialist (CWS) by the American Board of Wound Management. Ms. Lundgren is the president and owner of Senior Providers Resource, LLC. She provides consultation to nursing homes, assisted living facilities, and home health agencies on a wide range of issues, including wound prevention and management. Ms. Lundgren is nationally recognized as a wound care expert and has presented on wound management to 31 state associations and national associations, such as NADONA, AANAC, and the National Association of State Veterans Homes. Ms. Lundgren has authored wound care manuals for long-term care and home health. She is published in the peer-reviewed journal The Wound Care Advisor. Ms. Lundgren was a contributor to the Nursing Home Pressure Ulcer Change Package for Centers of Medicare and Medicaid Services. She was the author of Prevention and Treatment of Pressure Ulcers: A Practitioner’s Guideline, Minnesota Department of Health. Ms. Lundgren has trained the Minnesota, Kentucky, and Indiana Departments of Health on pressure injury prevention and management. Ms. Lundgren has presented for and served as the wound care expert for the CMS QIN-QIO pressure injury initiatives in Minnesota, Wisconsin, Illinois, Kentucky, Indiana, Florida, and Wyoming. Ms. Lundgren was also the lead wound care expert for Indiana’s “We Will” campaign to reduce pressure injury rates across the state for both phase I and phase II.
It is important to determine the etiology of a wound to ensure proper treatment and support. In Chapter One, we will discuss the etiology of pressure injuries. We will also discuss the necessary components of pressure injury assessment to meet standards of practice.
In Chapter Two, we will discuss the NPUAP pressure injury staging system. We will discuss the types of tissues that may be present in a wound bed to help determine the appropriate stage.
To assess if the pressure injury is healing or having signs of deterioration or infection, a comprehensive assessment must be done. Thus, in addition to assessing the wound bed and stage, you must also assess the size and depth, wound edges, odor, drainage, tunneling, undermining, and pain.