Pressure Injury Stages and Care
Risk Factors - Include advanced age, malnutrition, incontinence
Serum-filled Blister - May be present in a stage 2 pressure injury
Stage 1 Pressure Injury - Intact skin with nonblanching redness on a bony prominence
Stage 2 Pressure Injury - Partial-thickness dermis loss with a shallow ulcer
Stage 3 Pressure Injury - Serious wound requiring specific care
Stage 4 Pressure Injury - Full-thickness tissue loss with exposed bone or muscle
Undermining and Tunneling - Common in stage 4 pressure injuries
Braden Scale Score - Ranges from mild to very high risk
Braden Skin Assessment - Assesses risk for skin injury
Comorbidities Treatment - Includes anemia, PAD, diabetes, etc.
CRP, ESR, WBC Elevation - Signs of inflammation or infection
Dietitian Consultation - May be needed for nutritional planning
Risk Factors - Include advanced age, malnutrition, incontinence
Serum-filled Blister - May be present in a stage 2 pressure injury
Stage 1 Pressure Injury - Intact skin with nonblanching redness on a bony prominence
Stage 2 Pressure Injury - Partial-thickness dermis loss with a shallow ulcer
Stage 3 Pressure Injury - Serious wound requiring specific care
Stage 4 Pressure Injury - Full-thickness tissue loss with exposed bone or muscle
Undermining and Tunneling - Common in stage 4 pressure injuries
Braden Scale Score - Ranges from mild to very high risk
Braden Skin Assessment - Assesses risk for skin injury
Comorbidities Treatment - Includes anemia, PAD, diabetes, etc.
CRP, ESR, WBC Elevation - Signs of inflammation or infection
Dietitian Consultation - May be needed for nutritional planning
