1. Glenn Smith Tissue Viability and Nutrition Clinical Nurse Specialist
Categorising pressure ulcers – taken from PUCLAS international consensus tool on pressure ulcer grading
Glenn Smith
Tissue Viability and Nutrition Clinical Nurse Specialist

2. Category 1 non blanching redness

3. Category 2 epidermal loss

4. Category 3 down to but not through fascia

5. Unstageable pressure ulcer

6. Suspected Deep Tissue Injury

7. Blanching erythema

8. Non blanching erythema (category 1)

9. Blanching erythema

10. Using a transparent disc

11. Different areas: grade 4 big toe

12. Knee: category 3

13. Hips: category 4

14. Hip – unstageable pressure ulcer

15. Hip – unstageable pressure ulcer

16. Ears: category 4

17. Child – unstageable ulcer

18. Back of head – category 3

19. Back - unstageable

20. Elbow - unstageable

21. Elbow - category 3

22. Ankle – category 3

23. Heels – deep tissue injuries

24. Heels
Unstageable
Deep Tissue Injury

25. Moisture lesions: anal cleft

26. Perianal redness

27. Lying on a catheter – yes it is a Medical Device related pressure ulcer

28. Diffuse spotting – not a pressure ulcer

29. Necrosis – unstageable

30. Necrotic progression- day 1

31. Necrotic progression – day 8

32. Necrotic progression – day 20