ULCER STAGES

Question 1

non-blanchable erythema of intact skin

presence of blanchable erythema or changes in sensation, temp, or firmness may precede visual changes

Answer 1

stage 1

Question 2

partial thickness skin loss with exposed dermis

damage to the epidermis and part of the dermis but not through the dermis

Answer 2

stage 2

Question 3

full thickness skin loss

damage through epidermis and dermis into the subcutaneous tissue

Answer 3

stage 3

Question 4

full thickness skin and tissue loss

damage that extends through the epidermis, dermis, subcutaneous tissue to the exposed bone, tendon, or muscle

Answer 4

stage 4

Question 5

obscured full thickness skin and tissue loss

ulcers covered with necrotic tissue are unstageable because the depth of tissue destruction is not visible

Answer 5

unstageable

Question 6

persistent non blanchable deep red, maroon, or purple discoloration

skin damage that manifests as purple, blue or black areas of intact skin

signals deeper tissue damage and may need time to manifest

Answer 6

deep tissue injury