To learn more about the diagnosis, staging, classification, and treatment of pressure ulcers, Medscape interviewed Carol A. White MS, RN. The European Pressure Ulcer Advisory Panel (EPUAP) recommends similar stages, except for the presence of suspected deep tissue injury. The National Pressure Ulcer Advisory Panel (NPUAP) revised classification system for pressure injuries includes1 four numerical stages for situations.


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Pressure Injury Staging Guide

These stages help doctors determine the best course of treatment for a speedy recovery. If caught very early and treated pressure ulcer staging, these sores can heal in a matter of days.

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  • NPUAP Pressure Injury Stages

Stage pressure ulcer staging The first stage is the mildest. It discolors the upper layer of your skincommonly to a reddish color. In this stage, the wound has not yet opened, but the extent of the condition is deeper than just the top of the skin.

Stage I may be difficult to detect in individuals with dark skin tones. Pressure ulcer staging indicate at-risk persons a heralding sign of risk.


The ulcer is superficial and presents clinically as an abrasion, blister, or shallow crater. Partial thickness loss of dermis presenting as a shallow open ulcer with a red, pink wound bed without slough. Pressure ulcer staging as a shiny or dry shallow ulcer without slough or bruising.

Stages of Pressure Injuries

Slough may be present but does not obscure the depth of tissue loss. May include undermining and tunneling. The depth of a stage III pressure ulcer varies by anatomical location.

The bridge of the nose, ear, occiput and malleolus do not have subcutaneous tissue and pressure ulcer staging III ulcers can be shallow.

Pressure Injury Staging Guide | Shield HealthCare

In contrast, areas of significant adiposity can develop extremely deep stage III pressure ulcers. Presence of blanchable pressure ulcer staging or changes in sensation, temperature, or firmness may precede visual changes.

Color changes do not include purple or maroon discoloration; these may indicate pressure ulcer staging tissue pressure injury. Stage 2 Pressure Injury: Partial-thickness skin loss with exposed dermis Partial-thickness loss of skin with exposed dermis.

Table 2, [National Pressure Ulcer Staging System]. - Patient Safety and Quality - NCBI Bookshelf

The wound bed is viable, pink or red, moist, and may also present as an intact or ruptured serum-filled blister. Pressure ulcer staging fat is not visible and deeper tissues are not visible.

Granulation tissue, slough and eschar are not present. These injuries commonly result from adverse microclimate and shear in the skin over the pelvis and shear in the heel. If you or your doctor suspect a pressure injury, the area is treated as though a pressure injury has formed.

There are also pressure pressure ulcer staging that are "unstageable," meaning that the stage is pressure ulcer staging clear. In these cases, the pressure ulcer staging of the sore is covered by a thick layer of other tissue and pus that may be yellow, grey, green, brown, or black.

The doctor cannot see the base of the sore to determine the stage.