Quick Overview
Categories
Scope of Practice (ScOP) Designation
Treatment Goals
Monitor the demarcation of the unstageable pressure injury
Aim of Dressing
Dry out the area that is an suspected deep tissue injury to minimise the area becoming gangrenous as the dead tissue demarcates.
Frequency of Dressing Change
References
Product Selection Disclaimer:
The wound care products being currently used are a suggestion ONLY. They do not take into account your patient's individual needs which you must assess. No funding from medical companies has been provided and wound care products are chosen on their merit and what is available on the NSW Health State Wound Care Contract. Where an exact brand name product is not available we suggest you review the alternative tab or use another wound care product from its category eg. Hydrofibre
Care Plans
Unstageable Pressure Injury to the heels
Where the heel has suffered a suspected deep tissue pressure injury. This is often seen as a deep rich bruise with a localised focal point
Swipe
Paint area with betadine
Elevate the heels
Recheck
Unstageable Pressure Injury to the back
Where the sacral/ scapula has suffered a suspected deep tissue pressure injury. This is often seen as a deep rich bruise with a localised focal point
Swipe
Paint area with betadine
Offload the affected area
Recheck