Pressure Ulcers: The Daily PANCE Blueprint

Pressure Ulcers: The Daily PANCE Blueprint

Upon physical exam of a patient, you note a sacral pressure ulcer with full-thickness skin and tissue loss with exposed muscle and tendon in the ulcer. Which of the following stage is this pressure ulcer at?

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

Answer and topic summary

The answer is D. Stage 4

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

View blueprint lesson

Smarty PANCE Content Blueprint Review:

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

Also covered on the Family Medicine EOR and General Surgery PAEA rotation content topic list

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