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