The process begins subtly but can worsen without intervention. Understanding how they form helps care workers provide effective prevention and support. Stage 1: Non-Blanching Redness In the initial stage, the skin appears red or discoloured, and it does not turn white when pressed (non-blanching).

Study with Quizlet and memorize flashcards containing terms like redness over hip bone on immobile pt, what is indicated by blanching when touched on reddened area, nonblanchable redness of intact skin, discoloration, warmth, edema, pain, partial-thickness skin loss or intact blister w/ serosanguineous fluid and more.

If the area remains red, non-blanching erythema of intact skin, a category 1 pressure ulcer is indicated and further action is required. Correct positioning and support is important to minimise friction and shear whether in bed, chair and wheelchair.

The nurse may educate the patient about hygiene and wound care, have the patient change positions to prevent pressure ulcers, and encourage the patient to drink 6 to 8 L of water to promote cell function, but these are all secondary to stopping the bleeding. and more.

A bluish discolouration or blanching of the skin can be a sign of impaired circulation, which can lead to necrosis. In the latter case, the skin will often be dry and black to begin with, but secondary infection may result in moist necrosis with possible production of pus.