Wounds Pressure Injury

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1. Purpose and clinical relevance

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19. Sources and clinical references

MASTER-level citations, current as of the version date. Companies and agencies may append local policy. Verify the current edition at use; CHAP is agency-fill.

  • EPUAP / NPIAP / PPPIA. Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline, 2019. Staging, assessment, offloading, and treatment.
  • Wound, Ostomy and Continence Nurses Society (WOCN). Guidance on wound assessment and management (verify current edition).
  • Braden Scale for Predicting Pressure Sore Risk — risk assessment (prevention documented in Integumentary).
  • CMS Medicare Benefit Policy Manual (Pub. 100-02), Chapter 7 — Home Health Services. Skilled procedures, observation and assessment, teaching and training, and management and evaluation of the plan of care.
  • 42 CFR Part 484 — Conditions of Participation for Home Health Agencies; comprehensive assessment and care planning.
  • CMS OASIS-E2 Guidance Manual, effective April 1, 2026 — integumentary and wound items.
  • Community Health Accreditation Partner (CHAP) Standards of Excellence for Home Health. [Agency-fill: insert exact title, version, section, and date.]
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