How to Treat a Stage 1 Pressure Ulcer

Definition

• Non-blanchable erythema of intact skin
• Discoloration, edema, induration and warmth over bony prominence in dark skin

Goal

• If possible, remove cause
• Attempt to prevent further tissue damage

Treatment

Obtain a physician order:

1. Use Standard Precautions
2. Cleanse area gently
3. Pat dry; do not rub
4. Apply a thin hydrocolloid dressing to area (product examples include Duo Derm Extra Thin or Tegaderm
5. Change once a week and/or PRN
6. Apply skin prep for intact heels
7. Educate patient and family about pressure ulcers, turning frequently (as patient chooses/allows) and document
8. Document per agency guidelines

* Note: These are wound care guidelines only. Consult with the primary physician for specific orders.

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