Decubitus Ulcer Staging - Pressure Ulcer Stages help ...
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Description

Decubitus Ulcer Staging - Pressure Ulcer Stages help staff determine Degree of Harm to the patient.



Stage I: 

 • Intact skin with localized, non-blanchable erythema over a bony prominence. 

 • The area may be painful, firm or soft and warmer or cooler when compared to surrounding tissue. 

 • Darkly pigmented skin may not show visible blanching, however the colour of the Stage I ulcer will appear different than the colour of surrounding skin. 

 • Indicates the patient is at risk for further tissue damage if pressure is not relieved. 

Stage II

 • A partial thickness wound presenting as a shallow, open ulcer with a red/pink wound bed. 

 • May also present as an intact or open/ruptured serum-filled or serosanguinous-filled blister. 

 • Slough may be present but does not obscure the depth of tissue loss. 

Stage III

 • A full thickness wound. 

 • Subcutaneous tissue may be visible but bone, tendon and muscle are not exposed. 

 • May include undermining or sinus tracks. 

 • Slough or eschar may be present but does not obscure the depth of tissue loss. 

Stage IV

 • A full thickness wound with exposed bone, tendon or muscle. 

 • Often includes undermining and/or sinus tracks. 

 • Slough or eschar may be present on some parts of the wound bed but does not obscure the depth of tissue loss. 



#Diagnosis #Staging #Sacral #Decubitus #Pressure #Ulcers #Stages #III #IV #StageIII #Nursing



** GrepMed Recommended Text: Fitzpatrick's Color Atlas of Clinical Dermatology - https://amzn.to/2AyuB3T
Contributed by

Dr. Gerald Diaz
@GeraldMD
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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