PUSH Tool 3.0 - 2Electronic PUSH Tool ver 3.0 (© NPUAP * ) By BioVisual Technologies, LLC The PUSH Tool is now easier than ever to use! What every Long Term Care facility needs now!About the PUSH Tool The Pressure Ulcer Scale for Healing ( PUSH Tool ) was developed by the National Pressure Ulcer Advisory Panel ( NPUAP ) as a quick, reliable tool to monitor the change in pressure ulcer status over time. It is a validated tool. There are 3 pressure ulcer parameters that are used in the PUSH Tool 1. Surface Area in centimeters square 2. Wound Exudate Amount 3. Wound Tissue type Each of the parameter are converted to a sub-score: Area Sub-Score; Exudate Sub-Score; Tissue Sub-Score The 3 sub-scores are added to produce a Total Score. The total score will always fall between "0" ( closed wound ) to "17" ( highest score) The total score is then placed in a graph which shows the trend over time. ( that the wound is getting better or worse ) PictZar's Electronic Version of the PUSH Tool 3.0 : PictZar® streamlines the process by automatically assigning sub-scores, adding and obtaining the total score, and then plots the total score on the graph.
Directions.......... Detailed: Measure the greatest length (head to toe) and the greatest width (side to side) using acentimeter ruler. Multiply these two measurements (length x width) to obtain an estimate of surface area in square centimeters (cm 2). Caveat: Do not guess! Always use a centimeter ruler and always use the same method eachtime the ulcer is measured. Estimate the amount of exudate (drainage) present after removal of the dressing and before applying any topical agent to the ulcer. Estimate the exudate (drainage) as none (0), light (1), moderate (2), or heavy (3). This refers to the types of tissue that are present in the wound (ulcer) bed. Score as a “4” if there is any necrotic tissue present. Score as a “3” if there is any amount of slough present and necrotic tissue is absent. Score as a “2” if the wound is clean and contains granulation tissue. A superficial wound that is reepithelializing is scored as a “1”. When the wound is closed, score as a “0”. 4 – Necrotic Tissue (Eschar): black, brown, or tan tissue that adheres firmly to the wound bed or ulcer edges and may be either firmer or softer than surrounding skin. 3 – Slough: yellow or white tissue that adheres to the ulcer bed in strings or thick clumps, or is mucinous. 2 – Granulation Tissue: pink or beefy red tissue with a shiny, moist, granular appearance. 1 – Epithelial Tissue: for superficial ulcers, new pink or shiny tissue (skin) that grows in from the edges or as islands on the ulcer surface. 0 – Closed/Resurfaced: the wound is completely covered with epithelium (new skin). PictZar ® Electronic PUSH Tool Screen Shot
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