Have a question about staging past pressure ulcer. The discharge summery papers indicated Left ischial--- stage IV pressure ulcer, s/p flap surgical procedure. On assessment, the site is closed with sutures with JP drain in place. My question is do I?:
a. Put it as stage IV pressure ulcer/ or may be healed stage IV pressure ulcer/ healed staged IV pressure ulcer s/p flap procedure c JP in place. I have been thought that once stage established, the pressure ulcer always stays that stage, it is never downgraded even when it is been healed. In that case is healed through surgical intervention.
b. Put it as UTD because, the site been surgically closed and at assessment time I cannot see the extent of the wound. I have been thought to always put what I see at the time of actual assessment.
c. Or may be I put it as just a surgical wound site on admission and not mention pressure staging at all.
I did option c, but its been bothering me, so I would like to have more opinions on that ..
Thanks so much