pressure ulcers

Question 1

stage 1

Answer 1

an area of red, deep pink or mottled skin that does not blanch with fingertip pressure

Question 2

stage 2

Answer 2

partial thickness skin loss involving epidermis and/or dermis

Question 3

Stage 3

Answer 3

full thickness skin loss that looks like a deep crater and may extend to the fascia

Question 4

Stage 4

Answer 4

full thickness skin loss with extensive tissue necrosis or damage to the muscle, bone, or supporting structures; sinus tracts may be present

Question 5

unstageable

Answer 5

loss of full thickness of tissue

Question 6

Treatment

Answer 6

wound cleansing, debridement to remove necrotic tissue/infected tissue, apply dressing per dr order, do not massage over pressure points or any reddened areas