Abnormal findings are charted as a chain — finding, severity, comparison to baseline, the risk it creates, and the skilled action taken.
Perineal or genital pain out of proportion to the exam with dusky or necrotic skin, crepitus, and systemic toxicity — concerning for Fournier’s gangrene, a life-threatening necrotizing infection.
A deep perineal or sacral pressure injury, or an unstageable or deep-tissue injury — requiring offloading and treatment (staging in Wounds).
Incontinence-associated dermatitis that is worsening or being mistaken for a pressure injury — the wrong treatment risks deterioration.
A perineal or genital wound infection — spreading erythema, warmth, purulence, and systemic signs.
A catheter-associated meatal or entry-site infection or trauma — requiring intervention (catheter care in Urinary/Renal).
A severe candidal or fungal infection with denudation — requiring antifungal treatment.
New denudation or breakdown from uncontrolled moisture — indicating the barrier plan has failed.
Any new lesion, mass, or non-healing area — warranting evaluation.
