Tissue Integrity Worksheet

Flat, circumscribed area that is a change in the color of the skin; measures less than 1 cm in diameter.
Elevated, firm, and circumscribed area; measures less than 1 cm in diameter.
Flat, nonpalpable, and irregular-shaped macule; measures more than 1 cm in diameter.
Elevated, firm, and rough lesion with a flat top surface greater than 1 cm in diameter.
Elevated, irregular-shaped area of cutaneous edema; is solid and transient; diameter is varied.
Elevated, firm, and circumscribed lesion; is deeper in the dermis than a papule; measures 1 to 2 cm in diameter.
Vesicle that measures greater than 1 cm in diameter.
Elevated, superficial lesion; is similar to a vesicle but filled with purulent fluid.
Elevated, circumscribed, and encapsulated lesion; is in dermis or subcutaneous layer and filled with liquid or semisolid material.
Irregular red lines; are produced by capillary dilation.
Elevated, solid lesion; may be clearly demarcated; is deeper in the dermis; measures greater than 2 cm in diameter.
Elevated, circumscribed, and superficial lesion; does not extend into the dermis; is filled with serous fluid; measures less than 1 cm in diameter.