Western-Stages of Wounds of Decubitus Ulcers

Question 1

Stage One

Answer 1

(Reddening of the skin). Skin is unbroken and wound is superficial. Like a sunburn.

Tx: turning or alleviating pressure in some form or avoiding more exposure to the cause of injury.

Question 2

Stage Two

Answer 2

(The blister is either broken or unbroken). A partial layer of skin is now injured. (Must cover, protect & clean area). Quick attention to Stage One decubitus is very important.

Question 3

Stage Three

Answer 3

(The wound extends through the layers of the skin). It’s a primary site for a serious infection to occur.

Tx: Treat as Stage Two. Medical care is necessary to promote healing & prevent infection.

Question 4

Stage Four

Answer 4

(Extends through the skin & involves underlying muscle, tendons & bone). Depth, not diameter, is important. Very serious & may be life-threatening.

Tx: Must have medical care. Surgical removal of the necrotic or decayed tissue is often used in wounds of large diameter.