Forebyggelse af trykskader hos patienter med hoftebrud - Center for ...

Bilag 2: Klassifikation og graduering af trykskader (15).Originale Klassifikations definitionerEuropean Pressure Ulcer Advisory PanelClassification of Pressure Ulcer (1)Grade 0Blanchable erythema of intact skin.Grade 1Non-blanchable erythema of intact skin. Discolouration of the skin, warmth, oedema, induration or hardness may alsobe used as indicators, particularly on individuals with darker skin.Grade 2Partial thickness skin loss involving epidermis, dermis, or both. The ulcer is superficial and presents clinically as anabrasion or blister.Grad 3Full thickness skin loss involving damage to or necrosis of subcutaneous tissue, the damage may extend down to, butnot through, underlying fascia.Grade 4Extensive destruction, tissue necrosis, or damage to muscle, bone, or supporting structures with or without full thicknessskin loss.Afdeling for Sygeplejevidenskab • Høegh-Guldbergs Gade 6a • 8000 Aarhus C • Tlf: 8942 4855 mobil 2639 7839 19