Hepatic Encephalopathy, Pressure and Non-Pressure Ulcers

Hepatic Encephalopathy

                            Hepatic Encephalopathy

 

• Etiology
    --Due to alcohol
    --Due to drugs
    --Post-procedural
• Acuity
    --Acute
    --Subacute
    --Chronic
• Severity
    --With coma
    --Without coma
• Document any associated diagnoses/conditions

Pressure Ulcers

• Site (include laterality):
    --Elbow
    --Back (upper/lower)
    --Sacral
    --Hip
    --Buttock
    --Ankle
    --Heel
    --Head
    --Other (specify)
• Pressure Ulcer Stage:
    --Stage 1
    --Stage 2
    --Stage 3
    --Stage 4
    --Unspecified
• With gangrene
• Document any associated diagnoses/conditions
• Document if ulcer (including stage) is present on admission

Non-Pressure Ulcers

• Site:
    --Back
    --Buttock
    --Lower limb
       °°Laterality
           »»Right
           »»Left
       °°Specific site/area
           »»Ankle
           »»Calf
           »»Heel/midfoot
               * Plantar surface
           »»Thigh
           »»Other part of lower leg
    --Other (specify)
• Ulcer depth:
    --Limited to skin breakdown
    --With fat layer exposed
    --With muscle necrosis
    --With bone necrosis
• Cause of lower limb ulcers:
    --Atherosclerosis of lower extremity
    --Chronic venous hypertension
    --Diabetic ulcer
    --Postphlebitic syndrome
    --Postthrombotic syndrome
    --Varicose ulcer
    --Other (specify)
• With gangrene
• Document any associated diagnoses/conditions