OASIS Alert

Reader Question :

DEHISCED WOUND OR ULCER: HOW DO YOU TELL?

OASIS wound classifications continue to confuse clinicians.

Question: We have a patient who was admitted to service following a revision of a pedicle or flap graft (procedure code 8675). At recertification, this wound is being called a dehisced surgical wound as it was at start of care.

Does this remain a dehisced surgical wound or is it now a pressure ulcer since the flap procedure has failed? The depth is 2 cm and the wound bed is 50/50 granulation/hard black eschar.Wound length is 7cm, width 2cm.

Answer: If the current wound began with dehiscence of the flap, it is still a dehisced wound, says wound expert Dorothy Doughty, director of the Wound Ostomy Continence Nursing Education Center at Emory University in Atlanta. If the flap had healed and subsequently broken down, it would be a pressure ulcer, she explains.