Garcіa-Fernandez FP, Soldevilla-Agreda JJ, Rodriguez-Palma M, Parra-Anguita L, Pancorbo-Hidalgo PL. Algorithm for the differential diagnosis between dependence-related skin injuries and severe life-threatening skin injuries.
J Tissue Viability 2022;
31:575-578. [PMID:
36175255 DOI:
10.1016/j.jtv.2022.09.005]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2022] [Revised: 08/30/2022] [Accepted: 09/20/2022] [Indexed: 10/14/2022]
Abstract
AIM
To develop a diagnostic algorithm to differentiate dependence-related skin injuries (avoidable) from severe life-threatening skin injuries (unavoidable).
METHOD
A nominal group technique was used. Six experts with extensive knowledge of these types of injuries were selected for the group. All were nurses with a PhD in wound research and had more than 15 years of experience in wound care. The experts were asked only one question: In your opinion, what are the basic and indispensable aspects to differentiate a dependence-related skin injury (DR-SI) from a severe life-threatening skin injury (SLT-SI)?
RESULTS
The experts identified three basic elements to differentiate DL-SI and SLT-SI (clinical situation, provision of care, and clinical characteristics of the lesions). A diagnostic algorithm was developed to differentiate the two types of skin lesions using the three basic elements identified, a literature review, and what was published in the two articles that define DR-SI and STL-SI.
CONCLUSION
We developed a diagnostic algorithm to differentiate dependence-related skin injuries (avoidable) from severe life-threatening skin injuries (unavoidable). The algorithm also facilitates the identification of the subtypes of these injuries, depending on its location and characteristics.
Collapse