Module 4 Program Segment 2 of 3 - Home Care Information Network
Module 4 Program Segment 2 of 3 - Home Care Information Network
Module 4 Program Segment 2 of 3 - Home Care Information Network
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<strong>Home</strong> <strong>Care</strong> <strong>Information</strong> <strong>Network</strong> www.homecareinformation.netUltimate OASIS-C Training Item by Item [Rev 2/11]2/13/2011Stage III Pressure UlcerFull thickness tissueloss. Sub-q fat may bevisible but bone,tendon, or muscles arenot exposed. Sloughmay be present butdoes not obscure thedepth <strong>of</strong> tissue loss.May includeundermining andtunneling.Stage III Pressure Ulcer• The bridge <strong>of</strong> the nose,ear, occiput, andmalleolus do not havesubcutaneous tissue;Stage III ulcers in theselocations can be shallow.In contrast, areas <strong>of</strong>significant adiposity candevelop extremely deepStage III pressure ulcers.Bone/tendon is not visibleor directly palpable.Stage IV Pressure Ulcer• Full thickness tissueloss with visiblebone, tendon, ormuscle. Slough oreschar may bepresent on someparts <strong>of</strong> the woundbed. Often includesundermining andtunneling© Lisa Selman-Holman 5
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