FPCC Defining, Describing, and Classifying wounds 2

intact skin with a localized area of non- blanchable erythema (red) usually over a bony prominence

partial thickness skin loss with exposed dermis; serum filled or ruptured blister. ulcers are open but shallow and with red pink wound bed

full thickness loss. No bone or muscle is visible

full thickness and tissue loss with exposed bone, muscle, tendon, ligament or cartilage

injuries related to devices being used

an area of skin that is intact but discolored. It might be purplish or deep red, painful, boggy, or have a blister

full thickness covered by eschar or slough

usually soft, stringy and pale yellow or gray

thick, hard, black or brown, leather like (dead tissue)

pathway away from the wound (causes delayed wound healing)

checking the cliff of skin hanging over wound

a roll of skin that develops at the edge of the wound that has formed a boarder (closed or rolled wound edges)

When a wound involves minimal or no tissue loss and has edges that are well approximated. (little scaring expected)

Occurs when a wound (1) involves extensive tissue loss, which prevents wound edges from approximating, or (2) should not be closed (because it is infected)

a form of connective tissue with an abundant blood supply

when two surfaces of granulate tissue are brought together. This technique may be used when the wound is clean contaminated or contaminated. (creates less scaring than does secondary, but more than primary intention healing)

fluid that oozes as a result of inflammation

used on clean wounds. Watery in consistency and contains very little cellular matter. consist of serum (small colored fluid that seperates out of blood when a clot is formed)

you will see this with deep wounds or wounds in highly vascular areas. A bloody drainage, indicted damage to capillaries

A combination of bloody and serous damage. in new wounds, you will most commonly see this

red tinged pus

whenever a capillary network is interrupted or a blood vessel is served, bleeding occurs. This usually occurs within minutes of the injury

a red blue collection of blood under the skin, which forms as a result of bleeding that cannot escape to the surface