Emory DPT GMC: Nutrition and Wound Management
(Etiologies)| Quizzes with Answers Verified 100%
Correct
What are the Wound Etiology categories?
Pressure
Arterial
Venous
Neuropathic (Instead of Diabetic)
Infection
Dermatological
What is liva mortis?
Non-blanchable erythema - Intact skin with non-blanchable redness of a localized area usually
over a bony prominence.
Darkly pigmented skin may not have visible blanching, its color may differ from the surrounding
area.
. Presence of blanchable erythema or changes in sensation, temperature or firmness may
precede visual changes. Color changes do not include purple or maroon discoloration, these
may indicate deep tissue pressure injury.
when pressure is applied there is not any color that returns to the area when pressure
released??
What is stage 2 of a pressure ulcer?
Partial thickness loss of dermis presenting as a shallow open ulcer with a red pink wound bed,
without slough. May also present as an intact or open/ruptured serum filled or sero-sanguinous
filled blister.
, Stage II - Pressure Injury: Partial-thickness skin loss with exposed dermis
Partial-thickness loss of skin with exposed dermis. The wound bed is viable, pink or red, moist
and may also present as an intact or ruptured serum-filed blister. Adipose (fat) is not visible and
deeper tissues are not visible. Granulation tissue, slough and eschar are not present. These
injuries commonly result from adverse microclimate and shear in the skin over the pelvis and
shear in the heel. This stage should not be used to describe moisture associated skin damage
(MASD) including incontinence associated dermatitis (IAD), intertriginous dermatitis (ITD),
medical adhesive related skin injury (MARSI), or traumatic wounds (skin tears burns , abrasions)
What is stage 3 of a pressure ulcer?
Full-thickness tissue loss. Subcutaneous fat may be visible but bone, tendon or muscle are not
exposed. Slough may be present but does not obscure the depth of tissue loss. May include
undermining and tunneling.
Stage 3 Pressure Injury: Full-thickness skin loss
Full-thickness loss of skin in which adipose (fat) is visible in the ulcer and granulation tissue and
epibole (rolled wound edges) are often present. Slough and/or eschar may be visible. The depth
of tissue damage varies by anatomical location areas of significant adiposity can develop deep
wounds. Undermining and tunneling may occur. Fascia, muscle, tendon, ligament, cartilage
and/or bone are not exposed. If slough or eschar obscures the extent of tissue loss this is an
Unstageable Pressure Injury.
What is stage 4 of a pressure ulcer?
Full thickness tissue loss with exposed bone, tendon or muscle. Slough or eschar may be
present. Often includes undermining and tunneling. The depth of a Category/Stage IV pressure
ulcer varies by anatomical location.
Stage 4 Pressure Injury: Full thickness skin and tissue loss
Full thickness skin and tissue loss with exposed or directly palpable fascia, muscle, tendon,
(Etiologies)| Quizzes with Answers Verified 100%
Correct
What are the Wound Etiology categories?
Pressure
Arterial
Venous
Neuropathic (Instead of Diabetic)
Infection
Dermatological
What is liva mortis?
Non-blanchable erythema - Intact skin with non-blanchable redness of a localized area usually
over a bony prominence.
Darkly pigmented skin may not have visible blanching, its color may differ from the surrounding
area.
. Presence of blanchable erythema or changes in sensation, temperature or firmness may
precede visual changes. Color changes do not include purple or maroon discoloration, these
may indicate deep tissue pressure injury.
when pressure is applied there is not any color that returns to the area when pressure
released??
What is stage 2 of a pressure ulcer?
Partial thickness loss of dermis presenting as a shallow open ulcer with a red pink wound bed,
without slough. May also present as an intact or open/ruptured serum filled or sero-sanguinous
filled blister.
, Stage II - Pressure Injury: Partial-thickness skin loss with exposed dermis
Partial-thickness loss of skin with exposed dermis. The wound bed is viable, pink or red, moist
and may also present as an intact or ruptured serum-filed blister. Adipose (fat) is not visible and
deeper tissues are not visible. Granulation tissue, slough and eschar are not present. These
injuries commonly result from adverse microclimate and shear in the skin over the pelvis and
shear in the heel. This stage should not be used to describe moisture associated skin damage
(MASD) including incontinence associated dermatitis (IAD), intertriginous dermatitis (ITD),
medical adhesive related skin injury (MARSI), or traumatic wounds (skin tears burns , abrasions)
What is stage 3 of a pressure ulcer?
Full-thickness tissue loss. Subcutaneous fat may be visible but bone, tendon or muscle are not
exposed. Slough may be present but does not obscure the depth of tissue loss. May include
undermining and tunneling.
Stage 3 Pressure Injury: Full-thickness skin loss
Full-thickness loss of skin in which adipose (fat) is visible in the ulcer and granulation tissue and
epibole (rolled wound edges) are often present. Slough and/or eschar may be visible. The depth
of tissue damage varies by anatomical location areas of significant adiposity can develop deep
wounds. Undermining and tunneling may occur. Fascia, muscle, tendon, ligament, cartilage
and/or bone are not exposed. If slough or eschar obscures the extent of tissue loss this is an
Unstageable Pressure Injury.
What is stage 4 of a pressure ulcer?
Full thickness tissue loss with exposed bone, tendon or muscle. Slough or eschar may be
present. Often includes undermining and tunneling. The depth of a Category/Stage IV pressure
ulcer varies by anatomical location.
Stage 4 Pressure Injury: Full thickness skin and tissue loss
Full thickness skin and tissue loss with exposed or directly palpable fascia, muscle, tendon,
