MDS Alert
Know the RAI Manual Definitions for Stage 1 Pressure Ulcers
The RAI User's Manual includes the following definitions: "STAGE 1 PRESSURE ULCER: An observable, pressure-related alteration of intact skin, whose indicators as compared to an adjacent or opposite area on the body may include changes in one or more of the following parameters: skin temperature (warmth or coolness); tissue consistency (firm or boggy); sensation (pain, itching); and/or a defined area of persistent redness in lightly pigmented skin, whereas in darker skin tones, the ulcer may appear with persistent red, blue, or purple hues." "NON-BLANCHABLE: Reddened areas of tissue that do not turn white or pale when pressed firmly with a finger or device." The manual also states: "Reliance on only one descriptor is inadequate to determine the staging of the pressure ulcer between Stage 1 and suspected deep tissue ulcers. The descriptors are similar for these two types of ulcers (e.g., temperature (warmth or coolness); tissue consistency (firm or boggy)." Source:
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