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

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.