Algorithm for the differential diagnosis between dependence-related skin injuries and severe life-threatening skin injuries. Issue 4 (November 2022)

• Record Type: Journal Article
• Authors: Garcіa-Fernandez, Francisco P.; Soldevilla-Agreda, J. Javier; Rodriguez-Palma, Manuel; Parra-Anguita, Laura; Pancorbo-Hidalgo, Pedro L.
• Is Part Of: Journal of tissue viability. Volume 31:Issue 4(2022)
• Page Start: 575
• Page End: 578
• Publication Date: 2022-11
• Subjects: Differential diagnosis -- Skin ulcer -- End-of-life care -- Patient care management; Wounds and injuries -- Periodicals; Ulcers -- Periodicals; Bedsores -- Periodicals; Bedsores; Ulcers; Wounds and injuries; Electronic journals; Periodicals; 617.1406
• DOI: 10.1016/j.jtv.2022.09.005
• Languages: English
• ISSNs: 0965-206X

Abstract

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. Highlights: The diagnostic algorithm can be a very important tool for managers and clinicians. To differentiate between avoidable and unavoidable skin lesions is essential from an ethical and legal point of view. This tool can help to discern the responsibilities of healthcare facilities and professionals.