Pressure Injury Stages

Written By: Kenneth LaBore | Published On: 3rd February 2017
Health-skin-Non-Caucasian, Pressure Injury from NPUAP

Health-skin-Non-Caucasian, Pressure Injury from NPUAP

Pressure Injury Stages Have Many Names

There are names for skin breakdown and deterioration leading to need for pressure injury stages.  Pressure injuries are commonly referred to as “bedsores” sometimes spelled “bed sores” they are medically called decubitus ulcers and as know by many as pressure sores.  No matter the name used these sores are injuries due to excessive amounts of pressure for long periods of time in most cases.  The sores and ulcers occur on pressure points of the body such as the back of the head, shoulders, rear-end and coccyx, and bottom of heals.

Preventable Pressure Injury Stages

According to federal regulations a person who enters a nursing home without a pressure sore should receive proper care and treatment including turning and reposition, proper hydration, nutrition, and hygiene which should prevent ulcers.   The combination of not being turned as you sit in your urine or feces, on already dirty sheets without enough fluids and protein in your body to fight infections heal leads to the perfect situation for large festering and infected sores.  I have seen many cases of sores down to the bone or feel that need amputation after long periods of delay and neglect from care facilities.

Assessment Needed to Determine Pressure Injury Stages

There are sophisticated ways to assess residents of nursing homes and other elder care providers to look specifically for risks including falling, wandering due to confusion, needs assistance with eating and other risks, including skin condition and aggravators for the potential of developing sores.    Interventions should be taken eliminate hazards and risks as much as practicable, including specialized mattresses that reduce occurrences of pressure ulcers, nutritional supplements. medical equipment such as foam splints and boots to help relieve pressure.

One a sore begins it needs to be carefully charted on the characteristics of the wound and the skin surrounding it.  The caregiver and nursing staff needs to look for skin changes from normal skin to open sores and wounds.  Charting needs to include the size in millimeters and centimeters, length x width, x depth.  The color, skin turgor, and other characteristics of the areas surrounding the wound must also be documented.  The goal is to have each aide and caregiver that sees the wound(s) document the status of the wound at that moment in time so a chart or graph can be made to analysis the condition of the wound and determine is it getting worse or better.

NPUAP – Pressure Injury Stages

Ulcers and sores from pressure injury has Stages 1 to 4 and another for wounds that are considered “unstageable” due to dark hardened skin that is over the wound, often necrotic and considered very serious as is the later Stage 3 and 4 sores.  According to the Nation Pressure Ulcer Advisory Panel, NPUAP, an organization focused on the education and research of pressure sores and ulcers who outline the stages of the wounds, Stage 1 is a early wound with a reddened area and Stage 4 is through all the layers of skin and muscle and often bone is revealed.

Pressure Injury Stages Attorney

If you have questions about pressure injury sores or nursing home abuse and neglect contact Kenneth LaBore for a free consultation.  There is no fee unless there is a verdict or settlement offer from the wrongdoer.  Mr. LaBore can be reached directly at 612-743-9048 or toll free at 1-888-452-6589 or by email at KLaBore@MNnursinghomeneglect.com.

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