Bed Sore Grading

Pressure Ulcer Classification Guide CategoryStage II.

Bed sore grading. Pressure sores are categorised into four stages Table 2 corresponding to the depth of damage222324 It must however be emphasised that when an eschar is present accurate staging is not possible. The skin may not be broken at first but if the pressure ulcer gets worse it can form. Pressure sores are areas of damage to the skin and the underlying tissue caused by constant pressure or friction.

Presents as a shiny or dry shallow ulcer without slough or bruising. Partial Thickness Skin Loss Partial thickness loss of dermis presenting as a shallow open ulcer with a red pink wound bed without slough. Most common is the EPUAP grading system.

Grade II Damage to the superficial layer of the skin. A very deep wound that may reach the muscle and bone a category 4 pressure ulcer. PRESSURE ULCER STAGING Partial thickness ulcer Stage I Intact skin with non-blanchable redness of a localized area usually over a bony prominence St age II Loss of dermis presenting as a shallow open ulcer with a red-pink wound bed or openruptured serum-filled blister.

There are four levels of Pressure sore grades Grade I Change in the skin color blue red purple or black. Bed sore everything you need to know If a person spends a long time in the same position pressure sores or bed sores may develop. Grade III Necrosis of the skin.

They often cause residents to suffer extreme pain infection invasive surgeries or even death. Stage 1 or 2 pressure ulcers Skin tears Moisture associated skin damage MASD of the incontinence-associated dermatitis IAD type Contact dermatitis Friction blisters. The most important care for a patient with bedsores is the relief of pressure.

May also present as an intact or openruptured serum- filled blister. When to get medical advice. May present as an intact or open ruptured serum filled blister filled with serous or sero- sanguineous fluid.