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Existing Pressure Ulcers Report

This report provides the clinician with a comprehensive list of residents with existing pressure ulcers receiving weekly wound assessments and ulcer care. Clinicians can use the report as a tool to track and manage resident pressure ulcer care. The report provides ulcer-specific information, such as ulcer location, size, and ulcer duration in days. It also includes other relevant clinical information, such as nutritional supplement use, weight loss, and total number of resident risk factors. Also, clinicians can compare ulcer progress to available benchmark data for similar ulcers.

Sample Table: Residents With Previously Reported Pressure Ulcers

#	Room/ Bed	Resi- dent Name (Last, First)	Resi- dent ID	Ulcer Onset Date	New/ Re- opened	Admit/ Acquired	Ulcer Site	Initial Stage	Highest Visual- ized Stage	Current Stage	Ulcer Length (cm)	Ulcer Width (cm)	Ulcer SA cm²	Ulcer Status	Ulcer Days	Bench- mark Days + Or -	# Tx Chgs	Nutr. Supp.	Highest % Wt Loss Last 30 Days	# RF
1	100/2	Jones, Sarah	000222	6/1/07	N	AD	LHL	II	III	II	1.2 L	2.2	2.64	IM	14	+2	3	N		5
2	212	Smith, James	000111	6/3/07	R	AQ	RB	II	IV	IV	1.8 L	2.8	5.04	WO	12	+13	3	Y		6
3	311/2	Brown, Joseph	000333	6/5/07	N	AD	CX	III	III	II	1.2 L	1.2	1.44	IM	10	-1	2	N		8
4	322/2	White, Mary	000221	5/1/07	N	AD	LB	III	IV	II	1.0 L	1.4	1.4	SA	44	-2	5	Y	1.8%	8

Column Definitions

Term	Definition
Room/Bed	Resident room and bed location
Resident Name	Last Name, First
Resident ID	Resident unique identifier
Ulcer Onset Date	Date ulcer first identified
New/Reopened	Ulcer newly identified (N) or past ulcer reopened (R); Reopened = Prior history of Stage II or greater in the same location within 2 weeks
Admit/Acquired	Ulcer found on admission (AD) or acquired (AQ)
Ulcer Site	Pressure ulcer location code; displays one code per line
Initial Stage	Stage of ulcer when it was first identified: I, II, III, IV, or Unstageable (U)
Highest Visualized Stage	Highest visualized ulcer stage; system stores current visualized ulcer stage each report week; display highest stored stage during course of ulcer
Current Stage	Current ulcer stage; capture most recently reported ulcer stage from "current visualized ulcer stage" on wound assessment tool (Form 2)
Ulcer Length (cm)	Ulcer length value entered on wound assessment tool for report week; use L or C to indicate which method used: L – longest length or C – clock method
Ulcer Width (cm)	Ulcer width value entered on wound assessment tool for report week
Ulcer Surface Area (SA) cm²	Ulcer surface area as cm² based on ulcer length and ulcer width values entered on wound assessment tool for report week
Ulcer Status	IM = improved; WO = worsened; SA = same for most recent report week
Ulcer Days	Duration of pressure ulcer in days as calculated from onset date to report date
Benchmark Days + or -	Actual ulcer days compared to benchmark ulcer days (expected heal time); display + to indicate above benchmark days and – to indicate below benchmark days
# Treatment Changes	Times the ulcer treatment has changed during course of ulcer; # treatment refers to which treatment series currently in place, e.g., 3^rd, 4^th, 5^th; if only one treatment ordered since onset date, displays 1
Nutrition Supplements	Y = yes; N = no to indicate if resident on a nutritional supplement; display if "nutritional supplements" checked on wound assessment for report week
Highest % Wt. Loss Last 30 Days	Highest % weight loss in last 30 days (30 days from report date); if no weight loss for past 30 days, leave cell blank

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Current as of July 2009

Internet Citation:

On-Time Pressure Ulcer Healing Project: Existing Pressure Ulcers Report. July 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/pressureulcerhealing/existpu.htm