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Stage 1️⃣: Non-blanchable erythema, INTACT skin
Stage 2️⃣: Partial-thickness loss of skin with exposed dermis
Stage 3️⃣: Full-thickness skin loss, reaching into the subcutaneous layer
Stage 4️⃣: Full-thickness skin and tissue loss with visible bone, tendon, or muscle.
Unstageable 🚫: Full-thickness skin and tissue loss concealed by slough or eschar. Requires debridement for proper staging.
Deep Tissue Injury (DTI) 🟣: Intact or non-intact skin with localized area of persistent non-blanchable deep red, maroon, or purple discoloration. An area of darkened skin or blood-filled blister indicates damage to underlying soft tissue.
🛑 Key Interventions:
✅ Regularly reposition patients to alleviate pressure.
✅ Monitor nutrition and hydration to promote skin integrity.
✅ Assess for early signs of breakdown and treat accordingly.
📌 Save this post as a reference for your clinical rotations and exams 💛
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