How to Treat a Stage 2 Pressure Ulcer
Partial thickness skin loss involving the dermis. May present as an open blister or shallow crater without slough or bruising. Stage 2 pressure ulcers happen because of pressure: therefore, the term/description stage 2 pressure ulcer should not be used to describe skin tears, tape burns, maceration, excoriation. Stage 2 Pressure Ulcers can show improvement within 1 – 2 weeks.
- Maintain moist environment
- Attempt to minimize causing factors
Obtain a physician order:
- Use Standard Precautions
- Clean wound with Normal Saline or with Dermal Wound Cleanser for infected wounds
- Pat dry
- For blisters: cover with protective non adherent dressing
- For an open wound: apply thin film of wound gel (examples include saf-gel or Duo derm gel) and a thin hydrocolloid (Duo Derm Extra Thin) or foam dressing (PolyMem or Allevyn) (Also
- see Wound Care: Shallow Dry and Shallow Wet for more information)
- Change twice a week and/or PRN
- Document per agency guidelines
- Foam /Gel Cushion for chair
* Note: These are wound care guidelines only. Consult with the primary physician for specific orders.
If you found this article informative and useful share it with your friends and colleagues.