Pressure Injury Staging Guide. Right click on the image below and select ‘save target as…’ to save the full size image. Presence of blanchable erythema or changes in sensation, temperature or firmness may precede visual changes.
Right click on the image below and select ‘save target as…’ to save the full size image. Depth varies by anatomical location. Following are the stages of pressure injuries as defined by the national pressure advisory panel (npuap).
This resource is intended to help nursing home staff identify pressure injuries in all of their stages. Staging of pressure ulcers requires clinical skills including minimally observation and palpation cms definition of stage 2 pressure ulcer differs from npuap. Pressure ulcer staging concepts •npuap classification system:
•stage i •stage ii •stage iii •stage iv •unstageable •suspected deep tissue injury (sdti) •base staging on the type of tissue visualized or palpated. The first edition of this guideline was developed as a four year collaboration between the national pressure ulcer advisory panel (npuap) and the european pressure ulcer advisory panel. Presence of blanchable erythema or changes in sensation, temperature or firmness may precede visual changes.
Depth varies by anatomical location. Options for treatment can be guided by the stage of the pressure injury. Presence of blanchable erythema or changes in sensation, temperature, or firmness may precede visual changes.
Mucosal membrane pressure injury mucosal membrane pressure injury is found on mucous membranes with a history of a medical device in use at the location of the injury. The depth of a stage iv pressure ulcer varies by anatomical location. Partial thickness pressure injuries involve only the epidermis and dermis (stages 1 and 2).
The injury should be staged using the staging system. Pressure injury staging guide stage 1: •do not reverse stage when documenting a healing pressure ulcer.
Comments
Post a Comment