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Pressure Ulcer Staging

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Clinical Finding
Stage
Intact skin w/ non-blanchable redness of a localized area usually over a bony prominence   Stage I  
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Painful, firm, soft, warmer or cooler as compared to adjacent tissue   Stage I  
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Difficult to detect in individuals w/ dark skin tones   Stage I  
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Darkly pigmented skin presents as local coloration differing from the surrounding area.   Stage I  
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Partial-thickness loss of the dermis presenting as a shallow open ulcer w/ a red or pink wound bed.   Stage II  
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Intact or ruptured serum-filled blister or presents as a shiny or dry shallow ulcer w/o slough or bruising   Stage II  
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Stage should not be used to describe skin tears, tape burns, perineal dermatitis, maceration or excoriation   Stage II  
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Full-thickness tissue loss   Stage III  
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Subcutaneous fat may be visible but bone, tendon or muscle are not exposed   Stage III  
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Slough may be present, but does not obscure the depth of tissue loss`   Stage III  
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May include undermining and tunneling   Stage III  
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Bone and tendon are not visible or directly palpable   Stage III  
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Full-thickness tissue loss w/ exposed bone, tendon, or muscle that is visible or directly palpable   Stage IV  
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Slough or eschar may be present   Stage IV  
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Undermining and tunneling may be present   Stage IV  
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Can extend into muscle and supporting structures (e.g., fascia, tendon, joint capsule) making osteomyelitis possible   Stage IV  
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Created by: glopez111
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