last authored:
last reviewed:
assessment (Braden scale)
preventive actions
skin tears
diabetic foot
surgical wounds
patient self-care
screening for diabetic nephropathy
skin care in general
no hollow viscus entered
hollow viscus entered, but controlled
uncontrolled spillage from viscus
inflammation apparent
open, trauamatic wound
major break in aseptic technique
Untreated,
Ulcers are open sores frequently accompanied by sloughing off of inflamed tissue. They always heal with scarring.
An eschar is thick, hard, black, leathery, necrotic tissue.