{"text":"PRESSURE ULCER RECORD \nIndicate by clrclmg and numbering all pressure damage on diagrams, then complete box below. \nIndicate care plan\/wound assessment chart. \nLEFT \n0 \n. ) . \n'SCOTTISH ADAPTED EPUAP PRESSURE ULCER GRADING TOOL \n. GRADE 1 Non-blanchable erythema of intact skin. Discolouration of the skin, warmth, oeder\ufb01a, induration or \nPosterior view ) \nhardness may also be used as indicators, particularly on individuals with darker skin. \nGRADE 2 Partial thickness skin loss involving epidermis, dermis or both. The ulcer is superficial and presents \nclinically as an abrasion or blister. \nGRADE 3 Full thickness skin loss involving. damag\u00e9 to or necrosis of subcutaneous tissu\u00e9 that may extend \ndown to, but not through underlying fascia. \n. GRADE 4 Extensive destruction; tissue necrosis, or damage to muscle, bone, or supportlng structures with \nor without full thickness skin loss. \nNUMBER .| GRADEOF : \nDATE OF LOCATION OF ULCER(S) |LOCATION OF ULCER(S) \nULCER(S) ULCER(S) J \n. Pressure Ulcers may deteriorate from Grade 1 to Grade 4, but can not be reversed and should be \ndocumented as a healing grade of pressure uicer, eg healing grade 4. \n1 \nL 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