staging wounds

how would you stage an intact fluid filled blister, that has some purple color surounding the blister?

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Permalink Reply by Ma. Elliza Vigo on July 23, 2010 at 6:40pm

Stage 2 pressure ulcer- if it's in the pressure point area.

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Permalink Reply by gloria mcgann on July 26, 2010 at 11:24am

yes thats correct, you only stage wounds that are on pressure areas

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Permalink Reply by gloria mcgann on July 26, 2010 at 11:22am

you woud stage it as suspected deep tissue innjury, because you do not know how deep the injury is in the purple area around the blister
Gloria

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Permalink Reply by Laurie Swezey RN, BSN, CWS,CWOCN on July 28, 2010 at 12:32am

If this is due to pressure, then it would be a deep tissue injury

refer to http://npuap.org/pr2.htm

Suspected Deep Tissue Injury:
Purple or maroon localized area of discolored intact skin or blood-filled blister due to damage of underlying soft tissue from pressure and/or shear. The area may be preceded by tissue that is painful, firm, mushy, boggy, warmer or cooler as compared to adjacent tissue. Retreived 7/28/2010 npuap.org