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Board of Managers
ZoomAudience: Committee Members
Pediatric PCP Advisory Committee
ZoomAudience: Committee Members
Finance Committee
ZoomAudience: Committee members
Pediatric PCP Advisory Committee
ZoomAudience: Committee Members
Membership Committee
ZoomAudience: Committee Members
135 Corporate Woods, Suite 320
Rochester, New York 14623-1466
Phone: (585) 758-7823
Fax: (585) 424-1268
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Wound Assessment Descriptors
Refer to these definitions and descriptors as you complete the Essential Assessment Questions
- Types of wounds:
- Anatomical location
- Wound dimensions:
- Length x width x depth in centimeters
(Head to toe = Length, Side to side = width, Straight down = depth) - Undermining & tunneling
- Extent of tissue loss:
- Tissue present: type and percentage of each present
- Granulating (red granular base)
- Clean, non-granulating
- Hypertrophic Granulation (overgrowth of granulation tissue, sits above skin level)
- Slough
- Eschar
- Epithelial (pink epithelium)
- Exudate: type and amount present
- Oder after cleaning with NS/wound cleanser/water
- Wound edges:
- Open vs. Closed/Rolled
- Distinct vs. indistinct
- Periwound skin:
- Macerated (white or grey “water-logged” skin)
- Intact
- Erythema
- Candida
- Epidermal stripping
Ankle Brachial Index
| ABI Value | Interpretation | Recommendation |
|---|---|---|
| Greater than 1.4 | Calcification/vessel hardening | Refer to vascular specialist |
| 1.0 - 1.4 | Normal | None |
| 0.9 - 1.0 | Acceptable | None |
| 0.8 - 0.9 | Some arterial disease | Treat risk factor |
| 0.5 - 0.8 | Moderate arterial disease | Refer to vascular specialist |
| Less than 0.5 | Severe arterial disease | Refer to vascular specialist |
x