Pressure Ulcer Flashcards
Any lesion caused by unrelieved
pressure usually over a bony
the prominence that results in damage to underlying tissue
Pressure Ulcer
Stages of Pressure
Stage 1
Stage 2
Stage 3
Stage 4
Only the epidermis is affected; non-blanching erythema
Stage 1
Epidermis and Dermis are affected; Shallow opening; blisters
Stage 2
Subcutaneous tissue is affected or fascia
Stage 3
Fascia + bone, tendon, muscle, or cartilage affectation
Stage 4
A pressure ulcer wherein the bottom of the sore cannot be seen
Unstageable
It is when the surface of the skin looks like a stage 1 or 2 sore, but underneath it’s a stage 3 or 4.
Suspected Deep Tissue Injury (SDTI)
Intact skin with non-blanchable erythema
Stage 1
Extravasation of blood from ischemic leaky blood vessels
Stage 1
Partial thickness skin loss involving the epidermis and/or dermis.
Stage 2
Superficial ulcer and presents as an abrasion, blister, or shallow crater
Stage 2
Full-thickness skin loss involving damage to, or necrosis of, subcutaneous that may extend down to, but not through underlying fascia.
Stage 3
Presents clinically as a deep crater with or without undermining adjacent tissue.
Stage 3
Full-thickness skin loss with extensive destruction,
tissue necrosis, or damage to muscle, bone, or
supporting structures
Stage 4