Blister on bunion

[Dolo the nurse]

Hi....would you classify a blood blister on a bunion a dti if It was caused by ill fitting shoes? I don’t think it should be but am being told differently. I’ve read npuap friction position paper but it isn’t very clear.

[ConnecticutMassRN]

I believe you do have to call it a DTI because you are unable to assess the damage to the underlying skin.

[amoLucia]

Please, what's DTI and npuap? TYIA

[Candogal]

A DTI stands for deep tissue injury which sounds like this is the case. I'll fitting shoes pressed along the bunion would cause it. The patient needs to throw the shoes out or alter the shoes to prevent pressure to the site.