pressure ulcers

  1. what vascular assessments and other local wound assessments could you perform on a pt who has a stage 3 ulcer on their heal, to eliminate the presence of any arterial disease of the lower leg and to gather base line data???
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    About 2bnurse15

    Joined: Apr '09; Posts: 13


  3. by   Idaho Murse
    could check capillary refill. <2 seconds is normal. check blanching with <2 seconds as well. Compare pulses to see if they are equal and bilateral.
  4. by   Daytonite
    i'm not about the reasoning of your question. we assess to gather data, not to make medical decisions. i can give you some really good websites on how to assess pressure ulcers and how to assess the lower circulation. however, making a judgment about them is really in the doctor's realm. we can make educated guesses, but it is really up to a doctor to say what the medical cause of the pressure ulcer is. did you check the patient's history and physical exam information? wrong diagnosis website lists 31 causes for poor healing of wounds:

    with regard to assessment, see: