PRESSURE ULCERS-GRADING

From NeuroRehab.wiki

SUMMARY

1. Grade 1: non-blanchable erythema.

2. Grade 2: partial thickness loss of dermis, shallow ulcer.

3. Grade 3: full thickness loss of dermis, exposure of subcutaneous tissue.

4. Grade 4: full thickness loss of dermis, exposure of bone, tendon, and muscle.

5. Unable to stage: full thickness loss of dermis, actual depth is obscured from slough and/or eschar.


Reference(s)

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.