Rehab-Wound staging

Stage I wound
- intact skin
- nonblanchable redness
- NOT AN OPEN WOUND
Stage II wound
- partial thickness loss of dermis
- shallow open ulcer with a red pink wound bed
- no slough
Stage III wound
- full thickness tissue loss
- subcutaneous fat may be visible
- slough may be present
- may include undermining and tunneling
Stage IV wound
- full thickness tissue loss
- exposed bone, tendon, or muscle
- slough or eschar may be present
- often includes undermining and tunneling
Unstageable
- full thickness tissue loss
- base of ulcer is covered in slough
- and eschar

Author

laneaustin

249289

Card Set

Rehab-Wound staging

Description

wound

Updated

2013-11-27T06:11:41Z

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