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    PressureUlcer GradingTool

    Uploaded by

    Spislgal Philip
    The document describes the Scottish Adapted European Pressure Ulcer Advisory Panel (EPUAP) grading tool for classifying pressure ulcers. It defines 4 grades of pressure ulcers, with grade 1 being non-blanchable erythema of intact skin and grade 4 being extensive tissue destruction that may involve muscle, bone, or supporting structures. Grades 2 and 3 involve partial and full thickness skin loss respectively as well as damage to deeper tissue layers like the dermis, hypodermis, and fascia. Diagrams show the progression of damage through the epidermis, dermis, hypodermis and bone with the increasing grades of pressure ulcers.

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    Download as PDF, TXT or read online from Scribd

    PressureUlcer GradingTool

    Uploaded by

    Spislgal Philip
    666 views1 page
    The document describes the Scottish Adapted European Pressure Ulcer Advisory Panel (EPUAP) grading tool for classifying pressure ulcers. It defines 4 grades of pressure ulcers, with grade 1 being non-blanchable erythema of intact skin and grade 4 being extensive tissue destruction that may involve muscle, bone, or supporting structures. Grades 2 and 3 involve partial and full thickness skin loss respectively as well as damage to deeper tissue layers like the dermis, hypodermis, and fascia. Diagrams show the progression of damage through the epidermis, dermis, hypodermis and bone with the increasing grades of pressure ulcers.

    Original Description:

    How to Grade Pressure Ulcers

    Original Title

    PressureUlcer_GradingTool

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    The document describes the Scottish Adapted European Pressure Ulcer Advisory Panel (EPUAP) grading tool for classifying pressure ulcers. It defines 4 grades of pressure ulcers, with grade 1 being non-blanchable erythema of intact skin and grade 4 being extensive tissue destruction that may involve muscle, bone, or supporting structures. Grades 2 and 3 involve partial and full thickness skin loss respectively as well as damage to deeper tissue layers like the dermis, hypodermis, and fascia. Diagrams show the progression of damage through the epidermis, dermis, hypodermis and bone with the increasing grades of pressure ulcers.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    666 views1 page

    PressureUlcer GradingTool

    Uploaded by

    Spislgal Philip
    The document describes the Scottish Adapted European Pressure Ulcer Advisory Panel (EPUAP) grading tool for classifying pressure ulcers. It defines 4 grades of pressure ulcers, with grade 1 being non-blanchable erythema of intact skin and grade 4 being extensive tissue destruction that may involve muscle, bone, or supporting structures. Grades 2 and 3 involve partial and full thickness skin loss respectively as well as damage to deeper tissue layers like the dermis, hypodermis, and fascia. Diagrams show the progression of damage through the epidermis, dermis, hypodermis and bone with the increasing grades of pressure ulcers.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Scottish Adapted European Pressure Ulcer Advisory Panel (EPUAP)

    Grading Tool
    Grade 1
    Non-blanchable erythema (redness) of intact skin. Discolouration of the skin, warmth, oedema, induration or hardness may also be used as indicators, particularly on individuals with darker skin

    Progression of a pressure ulcer


    Epidermis Dermis Hypodermis Bone

    Grade 2
    Partial thickness skin loss involving epidermis, dermis, or both. The ulcer is superficial and presents clinically as an abrasion or blister
    Epidermis Dermis Hypodermis Bone

    Grade 3
    Full thickness skin loss involving damage to or necrosis of subcutaneous tissue that may extend down to, but not through underlying fascia

    Epidermis Dermis Hypodermis Bone

    Grade 4
    Extensive destruction, tissue necrosis, or damage to muscle, bone, or supporting structures with or without full thickness skin loss

    Epidermis Dermis Hypodermis Bone

    www.tissueviabilityonline.com/pu

    Version 1 1st July 2009

    Images: Colin Blain Medical Photographer Inverclyde Royal Hospital (IRH) Greenock / Science Photo Library

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