Pressure Ulcer Scale for Healing (PUSH): Wound Progress

The PUSH tool helps clinicians track pressure injury healing by assessing size, exudate, and tissue type. It offers a reliable way to monitor progress and adjust treatment plans.

Pressure Ulcer Scale for Healing (PUSH) PDF assessment tool for monitoring wound healing.
PUSH

Pressure Ulcer Scale for Healing (PUSH)

Developed to track wound progress, the Pressure Ulcer Scale for Healing (PUSH) is a quick, reliable tool for clinicians. It categorises ulcers based on surface area, exudate, and tissue type. This scoring system helps medical teams monitor changes and ensure treatment plans are working effectively.

Category

Physical health
Monitoring

Disease

Assessment
Clinical Care
Clinical Measurement

Source

(Stotts et al., 2001)

Author Name

National Pressure Ulcer Advisory Panel (1997)

What is Pressure Ulcer Scale for Healing (PUSH)

The Pressure Ulcer Scale for Healing (PUSH) is a reliable tool for tracking wound progress. It helps nurses monitor how pressure injuries heal over time. Created by the National Pressure Ulcer Advisory Panel, this instrument offers a quick way to categorise wounds. It effectively replaces old guesswork with clear, actionable data. The scale looks at three main factors which are surface area, exudate amount, and tissue type. You measure length and width, check drainage levels, and identify tissue appearance. These elements combine to give a total score that reflects the wound's status. Using the PUSH tool is straightforward at the bedside. You sum the sub-scores to get a total, where lower numbers mean the injury is getting better. It is great for regular checks and helps teams decide if current treatments work. This makes it easier to adjust care plans for better patient outcomes.

PUSH Scoring

The Pressure Ulcer Scale for Healing (PUSH) can be scored using one main approach: calculating a total sum score. You will assess three parameters: surface area, exudate amount, and tissue type. Each factor gets a sub score based on defined ranges. Surface area scores 0 to 10, exudate 0 to 3, and tissue type 0 to 4. Just add these up for a total between 0 and 17. It is a straightforward way to track progress, as a lower score over time means the injury is healing well, while rising numbers suggest you might need to change your care plan.

View scoring form

Advantages

Outcome tracking

Measures healthcare intervention results systematically.

Reliable data

Provides consistent measurements for clinical research.

Clear communication

Promotes active participation in healthcare assessment.

5
Minutes
3
Questions

Streamline Pressure Ulcer Scale for Healing assessments with WeGuide

Digitise PUSH assessments to track wound healing progress. Automate scoring and monitor trends for better care.

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