Pressure injury assessment tools: Appendix M
This list of pressure injury assessment tools is not exhaustive. These tools have been suggested as examples and were identified through the systematic review or by the expert panel. The most common, valid, and reliable wound assessment tools for use in adults are the following (not in order of importance):
Pressure Ulcer Scale for Healing (PUSH); Photographic Wound Assessment Tool (PWAT) and Bates-Jensen Wound Assessment Tool (BWAT). For a detailed, systematic analysis of all available assessment tools see the systematic review by Smet et al, 2021 (134).
Reference: Registered Nurses’ Association of Ontario, (2024). Appendix M of Pressure injury management: Risk assessment, prevention and treatment - Fourth edition. Toronto, Canada: Author. pp.110.
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