Pressure ulcers Grades summary.



At Grade 2, a blister or abrasion is formed, and the skin may appear cracked or broken. The skin area may be red, sore and swollen with whitening of the skin. In grade 2, the painful area breaks through the top and a bit of the bottom layer creating a shallow wound. This shows tissue damage or death (Wright, 2007).

At Grade 3, the ulcer opens, and the skin beneath is more exposed and red as the sores have broken into the fatty tissues below through the two top skin layers. The area may appear unpleasant to look at, with a foul odour and pus (discoloured drainage) emanating (Wright, 2007).

At grade 4, the ulcers are very serious with a high risk of infection, and the damage can usually be life-threatening.  A deep ulcer extends below the fatty tissues to the deep tissues, and it may involve damage of the muscles, bone, tendons and other supporting structures. The sore is extremely painful, and the skin may change to black and harden due to infection (Wright, 2007).

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