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Pressure Injuries

Stages Of pressure Injuries

QuestionAnswer
Describe Stage 1 pressure injury Skin is red, nonblanchable
Describe Stage 2 pressure injury Top layer is broken, open, shallow ulcers, red or pink moisture on the wound
Describe Stage 3 pressure injury A deep wound that extends beyond the epidermis and dermis (no structures shows yet, no bones or ligaments)
Describe Stage 4 pressure injury exposed bone and underlining body structures (extremely painful; has an awful odor unless it has been surgically removed). Small amount of sloth and eschar present
Describe Unstageable pressure injury has eschar and sloth covering the rest of the injury
Describe Deep Tissue injury Skin is intact, have a dark purple/maroon area that is nonblanchable
Nonblanchable vs Blanchable - Blanchable: Touch the redden area and there is a white spot revealed - nonblanchable: Touch the redden area and there is still a red spot
What is Escar? black, dead tissue; can’t stage because you have no idea what’s underneath it
What is Sloth? whiteish, yellowish, grayish, dead tissue that covers the bed of the wound; can’t stage because you don’t know what’s underneath it
Created by: selena340
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