What should be the focus of history of a current pressure injury (pressure ulcers)?

Updated: Mar 26, 2020
  • Author: Christian N Kirman, MD; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Answer

Information related to the current pressure injury should also be obtained, particularly with regard to the following:

  • Pain - Although pain may be present at the injury site, it is more commonly absent because the patient either is paraplegic is in critical condition and unable to acknowledge pain
  • Foul odor or discharge - This could be a sign of a more serious infection at the injury site
  • Natural history of the present pressure injury - This would include the length of time the injury has been present, the circumstances under which the ulcer developed, and any local treatments currently or previously employed
  • Associated medical cause for the injury (eg, paraplegia, quadriplegia, spina bifida, immobilization in hospital, or multiple sclerosis)

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