Stage That Wound
An open area over a bony prominence in which muscle is visible.
What is a Stage 4 pressure injury
A partial or full thickness wound in which a flap may or may not be present
What is a skin tear
A shallow open area, over a bony prominence, involving the epidermis and dermis
What is a Stage 2 pressure injury
An unopened, dry, boggy, purple, nonblanchable area on a bony prominence
What is a Deep Tissue Pressure Injury
A round, dry, black area on the foot or toe which is not painful
What is an arterial ulcer?
An area over a bony prominence which has dehisced, is open through the muscle tissue, and is draining
What is not a pressure ulcer and therefore not staged...a dehisced surgical wound