Pressure Ulcer Scale for Healing (PUSH)*

Assessments	Instructions	Assign a subscore (cm²)	Total the subscores
Size (length x width)	Measure the greatest length and width using a centimeter ruler. Multiply the two measurements to obtain an estimate of surface area.	0 - 0	Subscore
		1 - <0.3
		2 - 0.3-0.6
		3 - 0.7-1.0
		4 - 1.1-2.0
		5 - 2.1-3.0
		6 - 3.1-4.0
		7 - 4.1-8.0
		8 - 8.1-12
		9 - 12.1-24.0
		10 - >24
Exudate	Estimate the amount of drainage after removal of the dressing.	0 - None	Subscore
		1 - Light
		2 - Moderate
		3 - Heavy
Tissue type	Assess the presence of sloughing or necrosis	0 - Closed	Subscore
		1 - Epithelial tissue
		2 - Granulation tissue
		3 - Slough
		4 - Necrotic tissue
Add together all subscores =			Total score

PUSH_tool.htm

Changes in the score over time provide an indication of the healing process. The score goes down with improvement and increases with wound deterioration.

* Version 3.0 National Pressure Ulcer Advisory Panel (www.npuap.org).

Graphic 63890 Version 3.0

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Pressure Ulcer Scale for Healing (PUSH)*