No skin assessment, no moisture-vs-pressure distinction, no risk rationale.
The perineal-protection model note in §3: the intact skin with the barrier/containment and offloading plan, and the reason skilled perineal management was required for this high-risk resident.
“Redness in groin.”
No moisture-vs-pressure distinction, no plan, no infection screen.
“Moisture-associated dermatitis (erythema/denudement in a moisture pattern) — barrier/containment intensified; offloading reinforced; monitored for infection.”
“Perineal wound dressed.”
No wound characteristics, no periwound, no infection watch.
“Perineal/sacral wound cleansed and dressed per order; characteristics assessed and trended; periwound protected; no spreading infection.” (Staging to Skin.)
