In some situations, stage 4 pressure ulcers affect the underlying muscle, bone, tendon, or joint. Symptoms may include the presence of slough and eschar in the wound and rolled wound edges.

Share on Pinterest Unstageable pressure ulcers are also hard to diagnose because the bottom of the sore is covered by: slough: debris that appears tan, yellow, green, or brown in color eschar ...

The NPUAP defines slough as “soft, moist devitalized tissue. It may be white, yellow, tan, or green and may be loose or firmly adherent.” A Stage IV pressure ulcer is also a full-thickness ...

A Stage II pressure ulcer is partial thickness loss of the epidermis and dermis presenting as a shallow, open ulcer with a red/pink wound bed, without slough. A Stage II pressure ulcer also may ...

such as leg ulcers or pressure ulcers, often contain dead tissue and bacteria. This can be either: dry and leathery in appearance, known as eschar (Fig 1); or soft and brown, grey or yellow in colour, ...

The National Pressure Ulcer Advisory Panel redefined the definition of a pressure ulcer and the stages of pressure ulcers in 2007, including the original 4 stages and adding 2 stages on deep tissue ...