Quote from marisao13
Hi Chare! So are you saying that non-pitting wouldn't be rated because it wouldn't have any depth? I wasn't sure what you meant. Thanks for your replies everyone!! You would think that something like rating edema would be more straight forward, wouldn't you :-)
Although I can't speak for Chare, I'm pretty sure that IS what she means. Pitting edema is rated to establish the degree
of the edema. 4+ Pitting edema, for instance indicates a far greater fluid overload than 1+ pitting and definitely non-pitting edema.
The 1-4 portion of the scale is ONLY for pitting edema. That would be like being asked to document the number of teeth after you already documented the baby as toothless...
As a matter of fact, documenting a pitting rating when you documented non-pitting would raise a red flag if the file ever went to court. It would display a lack of knowledge, either for the care of the patient as a whole, or at least for the charting system. Both will raise enough doubt in your credibility to become an issue.
I would directly address the issue with your instructor. I'm pretty sure Jarvis even states the exact same rationale for the pitting edema ratings.