Pressure Ulcers: The Daily PANCE Blueprint

Pressure Ulcers: The Daily PANCE Blueprint

A 42-year-old female presents with a sacral pressure ulcer that has partial-thickness loss of skin with exposed dermis. The wound is mostly pink and moist. Which of the following stage is this ulcer at?

A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
E. Unstageable

Answer and topic summary

The answer is B. Stage 2

Pressure ulcers are localized areas of damaged skin or tissue over a bony prominence. The ulcers are caused by extensive pressure on the area. Here are the classifications of pressure ulcers

  • Stage 1: Intact skin, localized area of erythema
  • Stage 2: partial-thickness loss of skin with exposed dermis; the wound is pink/red/moist; may present as intact or ruptured blister
  • Stage 3: full-thickness loss of skin, adipose tissue is visible in the ulcer; often granulation tissue is present; possible slough/eschar
  • Stage 4: full-thickness loss of skin and tissue loss w/ exposed fascia, muscle, tendon, ligament, or bone
  • Unstageable: can’t stage due to slough or eschar obscuring the ulcer
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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint Dermatology ⇒Skin integrity ⇒ Pressure ulcers

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