Pressure Ulcers : Types of ulcers stages/categories
Pressure Ulcers : Types of ulcers stages/categories https://urgentcarenearmetx.com/wp-content/themes/corpus/images/empty/thumbnail.jpg 150 150 Tony Guo Tony Guo https://secure.gravatar.com/avatar/aa9bbdf8f1e6bbf534778ecea7c0c925?s=96&d=mm&r=g- Tony Guo
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Contributing factors
- Amount of pressure (intensity)
- Length of time pressure is exerted (duration)
- Ability of tissue to tolerate externally applied pressure
- Shearing force: Pressure exerted on skin when it adheres to bed and skin layers slide in direction of body movement
- Moisture: Excessive increases risk for skin breakdown
Types of ulcers stages/categories
Nonblanchable erythema
Intact skin with nonblanchable redness of a localized area usually over a bony prominence
The area may be painful, firm, soft, warmer, or cooler as compared to adjacent tissue
Partial thickness
Loss of dermis
Shallow open ulcer with a red-pink wound bed, without slough (looks like a serosanguinous- filled blister)
Full-thickness skin loss
Subcutaneous fat may be visible but bone, tendon, or muscle are not exposed
Include undermining and tunneling
Depth ulcer varies by location
Full-thickness tissue loss
Exposed bone, tendon, or muscle that are visible or directly palpable, and includes undermining and tunneling
Can extend into muscle and/or supporting structures (e.g., fascia, tendon, or joint capsule) making osteomyelitis or osteitis likely to occur
Other stages
Suspected deep tissue injury
Unknown depth
Purple or maroon localized area of discolored intact skin or blood-filled blister due to damage of underlying soft tissue from pressure and/or shear.
May be preceded by tissue that is painful, firm, mushy, boggy, warmer, or cooler as compared to adjacent tissue.
Clinical manifestation
Signs
Leukocytosis
Fever
Increased ulcer size, odor, or drainage
Necrotic tissue
Indurated, warm, painful
Complications
Most common and keeps recurring
Cellulitis
Chronic infection
Osteomyelitis
Possible death
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