There are four Pressure Sores grading. It is important that the four degrees to be considered as four different forms of pressure ulcers, and not as the phases which are necessarily consecutive.
Pressure ulcers in some patients may begin as a blister or a superficial or even deep pressure ulcers (eg a black necroseplek to the heel). Sometimes a blister immediately evolve into a black necroseplek (deep pressure ulcers).
Pressure Sores Grading and Stages
Grade 1: Non-blanchable redness
Grade 1 is a non-blanchable redness of intact skin. This may be accompanied by discoloration of the skin, warmth, edema, or hardening of the tissue. Clinically it is in individuals with pale skin visible as a zone delineated with permanent redness.
With a dark skin it is an observable, pressure related alteration of intact skin that can be associated with a change in one or several characteristics:
- skin temperature (higher or lower than the surrounding skin);
- tissue consistency (solid or week);
- sensitivity (pain, itching).
- Again drawing a delineated area with permanent red, blue or purple hues.
- If the thumb is pressed against the skin discoloration, it can not be printed white.
To distinguish between blanchable redness (no ulcers) and non-blanchable redness (bedsores), a transparent disc (a disc pressure) used. Such a disc comprises a transparent, rounded piece of plastic with a diameter of approximately 5 cm (for example, key-ring, magnifying glass, …). It allows you to put pressure on the skin and simultaneously observing the skin or white can be printed or not.
Grade 2: Blister or open blister
Grade 2 in the pressure sores grading is a superficial skin defect and that epidermis / dermis or concerns. The ulcer is superficial. Clinically, this degree is characterized as a blister or blisters burst open
Grade 3: Superficial decubitus
Grade 3 is a skin defect with damage or necrosis of skin and subcutaneous tissue that may extend to the underlying fascia, but not below. Clinically, it is visible as a crater, with or without undermining adjacent the tissue.
Grade 4: Deep decubitus
Grade 4 is an extensive degradation, tissue necrosis and / or damage to muscle, bone or supporting tissues with or without damage to the epidermis and dermis. Undermining of the tissue or sinusoidal injuries are possible
If you have an elderly parent, you should recognize these pressure sores grading.
