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South West Regional Wound Care Toolkit: F.4.3 Skin Tears Classification & Risk Assessment Tool ClientName: Address: AssessmentDate: SkinTearClassification ActualSkinTearClassification Category1Skintearswithouttissueloss.

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How to fill out the Skin Tears Classification and Risk Assessment Tool online

Filling out the Skin Tears Classification and Risk Assessment Tool online is a straightforward process designed to aid in evaluating the risk of skin tears in individuals. This guide will walk you through each section of the form, ensuring that you can complete it accurately and efficiently.

Follow the steps to successfully fill out the assessment tool.

  1. Click the ‘Get Form’ button to access the Skin Tears Classification and Risk Assessment Tool and open it in your preferred editor.
  2. Begin by entering the client name at the top of the form. This identifies the individual for whom the assessment is being conducted.
  3. Next, fill out the assessment date. This should reflect the date when the evaluation is taking place.
  4. Proceed to input the client’s address. This information is essential for record-keeping and follow-up purposes.
  5. Move to the Skin Tear Classification section. Here, classify any skin tears observed by selecting the appropriate category and providing the specific location details. Choose from the following categories: Category 1 for skin tears without tissue loss, Category 2 for those with partial tissue loss, and Category 3 for complete tissue loss.
  6. Continue to the Skin Tear Risk Classification Tool. Assess various risk factors listed in Groups 1, 2, and 3 by checking any that apply to the client. Pay close attention to indicators such as history of skin tears, balance issues, and overall mobility.
  7. After completing the risk assessment, follow the recommendations based on the responses in the classification groups. Determine if the client should be placed in a risk-reduction program based on the criteria outlined in the tool.
  8. Finally, review all the information for accuracy. Once satisfied, save the changes, download the filled-out form for your records, or print it for sharing with relevant healthcare providers.

Start completing the Skin Tears Classification and Risk Assessment Tool online to ensure accurate risk evaluations today.

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ISTAP has also developed a ISTAP Skin Tear Risk Assessment Pathway, which identifies those at risk and link the patients at risk to a prevention programme (Figure 1.) Education of the patient and caregivers is important as is management of the environment to enhance patient safety (Stephen-Haynes and Carville, 2011).

Perform a physical assessment This includes assessment of skin color, moisture, temperature, texture, mobility and turgor, and skin lesions. Inspect and palpate the fingernails and toenails, noting their color and shape and whether any lesions are present.

Classification 1 Type 1 Skin Tear: No skin loss. Linear or flap tear where the skin flap can be repositioned to cover the wound bed. Type 2 Skin Tear: Partial flap loss. The skin flap cannot be repositioned to cover the whole wound bed. Type 3 Skin Tear: Total flap loss. Total skin flap loss that exposes the entire wound bed.

Risk Factors Dry, fragile skin. History of previous skin tears. Medications that affect the thickness of the skin (e.g. steroids, immune-suppressives, anti-inflammatories, anticoagulants) Impaired mobility or vision. Cognitive or sensory impairment.

Although skin tears can occur at any age, those 65 years old and older are at high risk and those 80 years old and above at greatest risk because of more pronounced physiological changes in the skin.

Pressure injuries can be classified using a staging system: Stage 1 – non-blanchable erythema. Stage 2 – partial thickness skin loss. Stage 3 – full thickness skin loss. Stage 4 – full thickness tissue loss. Unstageable – depth unknown. Suspected deep tissue injury – depth unknown2.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232