1. ??? HOW ???
The staging system currently recommended by AHRQ (AHCPR), NPUAP and WOCN (and accepted by Medicare) is a six-stage system based on the tissue layers involved

2. LOOK FAMILIAR?
NOW YOU KNOW
WHY THERE WAS
A REASON YOU
MEMORISED THIS

3. Stage I
 Defined area of non-blanchable erythema of INTACT skin (vs. reactive hyperemia) usually over a bony prominence. Pigmented skin may not have visible blanching; its color may differ from surrounding area.The area may be painful, firm, soft (boggy) warmer or cooler than adjacent tissue. (NOT eschar)

4. Intact Non-blanchable Non-necrotic Boggy And think…..?pressure point?
Take home Words?
Intact
Non-blanchable
Non-necrotic
Boggy
And think…..?pressure point?
12/28/2018

7. Reactive Hyperemia
is the red skin color that is normally observed once pressure to an area has been relieved. This type of hyperemia is blanchable and will resolve in approximately 1/2 to 3/4 the amount of time that the area was exposed to pressure. (Increased blood supply to clear away byproducts of ischemia) e.g. a patient who is repositioned Q 2H may experience this over a bony prominence for as long as 11/2 hours following the position change.

8. Reactive Hyperemia
Stand up: look at your fingers, your neighbor’s crossed ankles , a leaned-upon elbow, and if you ask very politely, posterior thigh at chair edge
This is a normal process and should not be misclassified as a Stage I pressure ulcer.

9. Deep Tissue Injury
Manifested as deep red, maroon, purple tissue or blood-filled blister. Epidermis may or may not be intact and usually sloughs off.
Usually results from pressure/shear
NOT to be confused with Stage I

12. CAUTION Be careful about charting “red sacrum” : Is it Hyperemia?
Stage I?
Scar?
Deep Tissue Injury?