What is the focus of history for pressure injuries (pressure ulcers)?

Updated: Jun 11, 2018
  • Author: Christian N Kirman, MD; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Answer

The following important information should be obtained from the history:

  • Overall physical and mental health, including life expectancy
  • Previous hospitalizations, operations, or ulcerations
  • Diet and recent weight changes
  • Bowel habits and continence status
  • Presence of spasticity or flexion contractures
  • Medications and allergies to medications
  • Tobacco, alcohol, and recreational drug use
  • Place of residence and the support surface used in bed or while sitting
  • level of independence, mobility, and ability to comprehend and cooperate with care
  • Underlying social and financial support structure
  • Presence of specific cultural, religious, or ethnic issues
  • Presence of advanced directives, power of attorney, or specific preferences regarding care
  • Information related to the current ulceration - Pain, foul odor or discharge, natural history of the present ulcer, and associated medical cause of the ulcer

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