MAKING SENSE WITH CODING WOUNDS - NMHIMA
MAKING SENSE WITH
CODING WOUNDS
BARBARA S. LIST, BSN,RN,CWOCN
Blist@
TERROR
2
TYPES OF WOUNDS
? ARTERIAL
? PRESURE ULCERS
? VENOUS
? DIABETIC
? SURGICAL
? TRAUMA
? ATYPICAL
3
ARTERIAL ULCERS
` Causes
? Atherosclerosis
? Vaso-spastic disease
? Arterial embolism
? Trauma
? Cold
` Risk Factors
? Smoking
? Diabetes
? Hypertension
? Trauma
` Complications
? Infection/Sepsis
? Amputation
? Multiple wounds may affect
bilateral limbs
ARTERIAL ULCERS
` Characteristics
? Pain with elevation
? Location of ulcer- fingers, toes,
?
?
?
?
?
?
?
?
?
lower extremities, ankles
Pulses weak/absent
Coldness
Poor tissue perfusion
Pallor with elevation
Dependent rubor
Atrophic, shiny skin
Loss of hair
Minimal drainage/dry
Indurations with or without edema
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