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Pressure Sore Classification
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Pressure Sore Classification / Grading Using EPUAP
- Grade 1: Non-blanching or erythema of intact skin. Discoloration of the skin, warmth, oedema. Induration of hardness may also be used as indicators, particularly on individuals with darker skin.
- Grade 2: Partial thickness skin loss involving epidermis, dermis or both. The pressure ulcer is superficial and presents clinically as an abrasion or blister.
- Grade 3: Full Thickness skin loss involving damage to or necrosis of subcutaneous tissue that may extend to, but not through underlying fascia.
- Grade 4: Extensive destruction, tissue necrosis, or damage to muscle, bone or supporting structures, with or without full thickness skin loss. A wound bed obscured by necrotic tissue