Saturday July 3, 2010
Stages of Decub ulcer

Stage I
This stage is characterized by a surface reddening of the skin. The skin is unbroken and the wound is superficial. This decubitus ulcer quickly fades when pressure is gone. Treatment consists of turning or alleviating pressure. Increased nutrition is part of prevention.

Stage II
This stage is characterized by a blister either broken or unbroken. A partial layer of the skin is now injured. Involvement is no longer superficial. The goal of care is to cover, protect, and clean the area.

Stage III
The wound extends through all of the layers of the skin. It is a primary site for a serious infection to occur. The goals and treatments of alleviating pressure and covering and protecting the wound still apply as well as an increased emphasis on nutrition and hydration.

Stage IV
A Stage IV wound extends through the skin and involves underlying muscle, tendons and bone. The diameter of the wound is not as important as the depth. This is very serious and can produce a life threatening infection. All of the goals of protecting, cleaning and alleviation of pressure on the area still apply. Nutrition and hydration is now critical. Without adequate nutrition, this wound will not heal. Anyone with a Stage IV wound requires medical care by someone skilled in wound care. Surgical removal of the necrotic or decayed tissue is often used on wounds of larger diameter.