Skin Pressure Injury

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1. Purpose and clinical relevance

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General Section

DIRACHART — SKILLED DOCUMENTATION · NURSING HOMES (DGEX-SNF)

DiraChart Clinical Reference · Read-only reference edition

Clinical Reference · 2.3

Skin Integrity, Wounds & Pressure Injury

Facility-wide skin surveillance and skilled wound care — NPIAP staging, measurement, the present-on-admission (avoidable vs unavoidable) determination, weekly skin sweeps, the prevention plan, and MDS Section M accuracy — surveyed under F686, one of the most cited and litigated nursing-home domains.

Module code

SNF-SKIN

Version

1.0 · Population: Adult · DiraChart reference edition

Used alongside

Integumentary baseline · Nutrition · Continence · Peripheral Vascular · Diabetes overlay · Skilled-Daily

MDS section(s)

M0100–M1200 (risk; pressure ulcers/injuries by stage; present-on-admission; other skin conditions; healing) · GG / immobility

Survey F-tag(s)

F686 (skin integrity / pressure ulcers) · F684 · F687 (foot care)

How to use this module

Fill every model note and smart phrase with the shift’s actual values and the resident’s current orders — these are structured examples to edit, never phrases to copy. The universal writing rules in Foundations (the necessity sentence, quantified outcomes, teach-back, closed-loop coordination, MDS-supportive documentation, and care-plan linkage) apply throughout and are not reprinted here. Disease-specific days route to the overlays. Verify each threshold and citation against the current source before use.

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