Topic Progress:

Reassessment of Risk

Reassessment of Risk and Reverse Grading

Reverse grading should never be used to describe the healing of a pressure ulcer/injury. A Category 4 cannot become Category 3, Category 2, and/or Category 1.

Healing of pressure ulcers should be documented by objective parameters such as size, depth, amount of necrotic tissue, amount of exudate and presence of granulation tissue. Continued reassessment of risk should be carried out throughout the healing process to ensure that any red flags/highlighted risks are addressed to prevent further injury.

It is vital that there is robust documentation throughout an individual’s healthcare journey to demonstrate that actions have been taken and evaluated and care plans adjusted to reflect changes as required.