Skin integrity No risk of pressure damage or skin Risk of skin breakdown which requires Pressure damage or open wound(s), condition. preventative intervention several times pressure ulcer(s) with thickness ‘partial OR each day, without which skin integrity skin loss involving epidermis and/or Risk of skin breakdown which requires would break down. dermis’, which is not responding to preventative intervention once a day or less OR treatment. than daily, without which skin integrity would Pressure damage or open wound(s), OR break down. pressure ulcer(s) with thickness Pressure damage or open wound(s), ‘partial OR skin loss involving epidermis and/or pressure ulcer(s) with thickness skin ‘full Evidence of pressure damage and/or dermis’, which is responding to treatment. loss involving damage or necrosis to pressure ulcer(s) either with OR subcutaneous tissue, but not extending to ‘discolouration of intact skin’ or a minor wound. An identified skin condition that requires a underlying bone, tendon or joint capsule’, OR minimum of daily treatment, or daily which is responding to treatment. A skin condition that requires monitoring or monitoring/reassessment to ensure that it OR reassessment less than daily and that is is responding to treatment Specialist dressing regime in place which responding to treatment or does not is responding to treatment. currently require treatment. Brief description Write A, B or C of need and below: source of evidence to support the chosen level Name of individual Date of completion C B A
Skin integrity No risk of pressure damage or skin condition. OR Risk of skin breakdown which requires preventative intervention once a day or less than daily, without which skin integrity would break down. OR Evidence of pressure damage and/or pressure ulcer(s) either with ‘discolouration of intact skin’ or a minor wound. OR A skin condition that requires monitoring or reassessment less than daily and that is responding to treatment or does not currently require treatment. Risk of skin breakdown which requires preventative intervention several times each day, without which skin integrity would break down. OR Pressure damage or open wound(s), pressure ulcer(s) with ‘partial thickness skin loss involving epidermis and/or dermis’, which is responding to treatment. OR An identified skin condition that requires a minimum of daily treatment, or daily monitoring/reassessment to ensure that it is responding to treatment Pressure damage or open wound(s), pressure ulcer(s) with ‘partial thickness skin loss involving epidermis and/or dermis’, which is not responding to treatment. OR Pressure damage or open wound(s), pressure ulcer(s) with ‘full thickness skin loss involving damage or necrosis to subcutaneous tissue, but not extending to underlying bone, tendon or joint capsule’, which is responding to treatment. OR Specialist dressing regime in place which is responding to treatment. Brief description of need and source of evidence to support the chosen level Write A, B or C below: Name of individual Date of completion C B A