The Four Stages of Bed Sores, Decubitus Ulcers and Pressure Sores

January 14, 2011

Bedsores fall into one of four stages based on their severity. The National Pressure Ulcer Advisory Panel, a professional organization dedicated to the prevention and treatment of pressure sores, has defined each stage as follows:

* Stage I. A pressure sore begins as a persistent area of red skin that may itch or hurt and feel warm and spongy or firm to the touch. In blacks, Hispanics and other people with darker skin, the mark may appear to have a blue or purple cast, or look flaky or ashen. Stage I wounds are superficial and go away shortly after the pressure is relieved.
* Stage II. At this stage, some skin loss has already occurred -- either in the outermost layer of skin (the epidermis), the skin's deeper layer (the dermis), or in both. The wound is now an open sore that looks like a blister or an abrasion, and the surrounding tissues may show red or purple discoloration.
* Stage III. By the time a pressure ulcer reaches this stage, the damage has extended to the tissue below the skin, creating a deep, crater-like wound.
* Stage IV. This is the most serious and advanced stage. A large-scale loss of skin occurs, along with damage to underlying muscle, bone, and even supporting structures such as tendons and joints.

Like many cases involving bed sores (also referred to as: pressure sores, pressure ulcers or decubitus ulcers) the nursing homes main argument is usually that the patients wounds were 'unavoidable'.

While there may be a limited number of circumstances where skin-breakdown occurs despite the implementation of all feasible preventative measures--- most cases of bed sores simply result from downright neglect and faulty care-- the facility simply not doing its job in caring for the patients says California Nursing Home Abuse and Neglect Attorney Steven C. Peck who can be contacted toll free at 1.866.999.9085