Pressure Wounds Flashcards
1
Q
Stage 1
A
Skin is intact over the tissue but the area under is ischemic
2
Q
Stage 2
A
Upper layer of skin is missing but the lower layer is still present
3
Q
Stage 3
A
All layers of skin are missing
4
Q
Stage 4
A
Extends below the skin and into the bone/muscle/tendon
5
Q
Tx
A
Self care?
Nutrition?
Abuse?
Protect
Wound consult for stage 3 and 4
