There are many different wound terms in the OASIS-C that you must understand to properly complete it. Below find the definitions of some common wound terms:
M1320 (pressure), M1334 (stasis), M1342 (surgical)
“Status” of most problematic ulcer or wound:
- Newly epithelialized: Wound bed covered, no exudate, no eschar/slough, no infection
- Fully granulating: 100% granulation tissue, no eschar/slough, no infection, wound edges open
- Partial granulation: Some granulation tissue, some slough/eschar, wound open
- Not healing: Eschar/slough or infection or no granulating or closed wound edges or failure
This information was adapted from Beacon Health’s audio conference series, OASIS-C Process Measures: Best Practice Strategies that Reduce Risk. The first session was devoted to Prevention and Treatment of Pressure Ulcers and Other Wounds and was presented by Laurie Salmons, RN, BSN.
For more information about the three remaining sessions which include topics of PPS Payment and Public Reporting; Falls, Footcare, Flu, and Heart Failure; and Depression, Pain and High-risk Medications, click here.
February 4th, 2010 at 12:10 pm
Hi,
Thank you for these definitions, but in some ways, I think they create more questions than they answer.
For example, a newly epithelialized wound is not just “covered.” It is covered with epithelium.
In a fully granulating wound, what does 100% granulation mean? Does that mean the whole bottom of a deep wound is 100% covered with granulation? No it doesn’t. It means the wound is full of granulation tissue to the skin level.
In early/partial granulation, what does “some” slough/eschare mean? It is better defined as less than 25% slough/eschar.
And, in non-healing wounds, the slough/eschar is greater than 25%. And, by the way, all unhealed stage II pressure ulcers are non-healing, because they don’t granulate, and if they are newly epithelialized, they are healed and no longer counted.
Thanks,
Sue Hull, RN, MSN, CWOCN