HYBRID EVENT: You can participate in person at Orlando, Florida, USA or Virtually from your home or work.

9th Edition of Nursing World Conference

October 27-29, 2025

October 27 -29, 2025 | Orlando, Florida, USA
NWC 2024

Skin failure: The AADA-PAWSIC ICD-10-cm code proposal and implications for nursing practice worldwide

Speaker at Nursing Conferences - Diane L Krasner
Post Acute Wound & Skin Integrity Council, United States
Title : Skin failure: The AADA-PAWSIC ICD-10-cm code proposal and implications for nursing practice worldwide

Abstract:

Assessing, documenting and caring for patients/residents experiencing skin failure is an important skill for nurses and healthcare providers across the continuum of care worldwide.  On September 10, 2024, on behalf of the Post Acute Wound & Skin Care Council and the American Academy of Dermatology Association, Dr. Diane L. Krasner presented a code proposal for Skin Failure ICD-10-CM Codes (acute skin failure, chronic skin failure and end-stage skin failure) to the CDC’s ICD-10-CM Committee (USA).  Having these codes and educating nurses and healthcare providers about them will improve the quality of care for patients/residents experiencing skin failure; will facilitate education for patients, families and caregivers experiencing skin failure; and will improve research and understanding of skin failure globally. This presentation will review the impetus and conceptual framework for the AADA-PAWSIC Skin Failure Initiative.  The proposed codes are based on the work of Langemo and Brown published in 2006 in an article entitled “Skin fails, too: acute, chronic and end-stage skin failure.”*  Definitions, nursing diagnoses and examples of acute, chronic and end-stage skin failure will be discussed.  An assessment guide developed by PAWSIC will be presented that can help nurses and other healthcare providers distinguish between skin failure and pressure injury/ulcers.  Information about an end-of-life wound assessment tool will also be provided.
Langemo DK, Brown G. Skin fails too: Acute, chronic, and end stage skin failure. Advances in Skin & Wound Care, 2006, 19(4), 206-211.

Audience Take Away:

  • Discuss the definitions, concurrent conditions and nursing diagnoses for acute, chronic and end stage skin failure
  • Explain the importance of assessing, documenting, developing plans of care and educating on skin failure for patients/residents, families and caregivers
  • Identify at least two guides/tools available for assessing patients/residents with skin failure

Biography:

Dr. Diane L. Krasner is a board-certified wound care nurse (CWCN) with over thirty-five years of experience in wound, ostomy & incontinence care across the continuum of care. Dr. Krasner is a Wound & Skin Care Consultant, Educator and Expert Witness. Diane currently serves as the Senior Advisor for the Coalition for At-Risk Skin and the Interim Past President for the Post-Acute Wound and Skin Integrity Council.  She is a Fellow of the American Academy of Nursing, an Inaugural Fellow of the Association for the Advancement of Wound Care and an Inaugural Fellow of the Wound Ostomy Continence Nurses Society.

Watsapp