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What Are The Different Stages Of Wounds?

What is a Stage 1 wound?

Stage 1 wounds do not have any visible skin cuts. However, the skin covering the wound can be remarkably different from the surrounding area. The differences may be changes in temperature, firmness, or color of the skin. The wound may also be painful or itchy.

What is a Stage 2 wound?

In a Stage 2 wound the topmost layers of skin are severed(epidermis and dermis). There may be some drainage.

What is a Stage 3 wound?

Stage 3 wounds are deeper than stage 2 wounds. They typically go down to the "fat" layer(subcutaneous) but do not extend any further. There may be dead tissue and drainage.

What is a Stage 4 wound?

Stage 4 wounds are very serious. These wounds are characterized by going as far down as the bone and muscle. Dead tissue and drainage are almost always present.

When should I consult a physician about my wound?

If you are in doubt about the seriousness of the wound, consult a doctor. There are some good indications of whether the wound is serious or not.

  • Any sort of pus or cloudy, creamy fluid
  • Increasing redness around the wound
  • Increased pain or swelling 48 hours after the wound occurs
  • The wound won't stop bleeding
  • Fever
  • Wound hasn't healed in 10 days
  • Numbness
  • The wound is deep and you have not had a tetanus shot in the last 5 years

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What can I do to treat the wound?

Your doctor should decide what type of treatment is best for you. He or she will most likely recommend some of the following treatment options:

  • Avoid putting pressure on the wound. Check your wheelchair cushions, transfer benches, mattresses, and any other seating arrangements to see if they are causing the problem.
  • Stage 1 wounds should be gently washed with soap and water. Stage 2-4 wounds should have a dry dressing on them at all times, unless your healthcare provider says otherwise.

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Sources

Taking Care of Pressure Sores - University of Washington
Wound Infection - Description/Symptoms
Cuts, Scrapes and stitches: Caring For Wounds
Pressure Ulcer - MedlinePlus