The Pressure Ulcer Scale for Healing (PUSH)

 

NOTE: This is Version 3.0 (09/15/1998), and is copyrighted by the National Pressure Ulcer Advisory Panel.

 

Examination: The largest pressure ulcer is evaluated. This may be measured at the time of admission and at the time of discharge from an institution.

 

Parameters:

(1) area (length times width in square cm, scored from 0 to 10))

(2) amount of exudate (scored from 0 to 3)

(3) tissue type (scored from 0 to 4)

 

where:

• The area is based on the maximum length times the maximum width of the lesion in cm.

• The exudate is based on the amount of drainage present after removal of the dressing and before applying any topical agent to the ulcer.

 

PUSH =

= SUM(points for the 3 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 17

• The higher the score, the more severe the ulceration.