Skin Documentation in Acute Care

Acute health care is just now beginning to realize the importance of good documentation of skin integrity and pressure sores on the new patient. It is somewhat sad that this interest had to be sparked by the payment issue from Medicare. Medicare will not pay for pressure ulcers that are acquired while a patient is in the hospital. It is now of utmost importance to hospitals that all pressure areas are documented on admission. The acute side of medicine need look no further that the specialty of Long Term Care to find the many ways to document and follow up on pressure areas. It does not matter whether you are using a computerized program, or old fashioned paper and pen, unless the person assessing the pressure area knows how to correctly document the wound, the entry into the computer will do nothing for assessment.

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