Question

pressure ulcer and her wound bed appears with margins in pink color with the central area black tissue and slough formation with tunneling in the sacral region. Identify the grade of the wound

Answer 1

This is most likely grade 3 or deep ulcer.

Under this grade, the ulcer starts to show the mucal lining and even deep wounds.

This type of stage of cancer requires immediate attention as the sore may spread to the fascia lining which will severely hamper one's movement in several ways and also give a prolonged infection.

Answer 2

Grade of wound identifiesd is:

The tissue injury leads to pressure ulcer and wound bed appears with margins in pink colour with the central area black tissue and slough formation with tunnelling in the sacral region. This area may be painful, mushy, and boggy compared to normal adjacent area. This is unsteageable. Full thickness in which bases of the ulcer is covered by slough. The Escher appears tan, brown and black in colour.