Blanching of the skin over the area under pressure,  Skin becomes pale and white.

Insufficient blood circulation makes the skin appear paler than the areas where there is adequate circulation.

When pressure is relieved, the area will appear red and feel warm. 

When a pressure ulcer is first developing,

which color would the nurse see?

Stage 1

Pressure Ulcer

This stage of a pressure ulcer is a defined area of persistent reddness in lightly pigmented skin, and persistent red, blue or purple hue

in darker pigmented skin.

Desiccation

Localized wound dehydration is called?

Maceration

What is localized wound over-hydration or excessive moisture called???

Evisceration

What is a complete separation of the wound, with protrusion of viscera through the incisional area called??

Hemostasis - the blood vessels constrict and a clot begins to form. 

Inflammatory - this phase lasts 4-6 days, WBC & macrophages move to the wound.

Proliferation - the formation of granulation tissue (highly vascular red tissue that bleeds easily).

Maturational - the final phase of wound healing, the remodeling of collagen, that was haphazardly deposited in the wound and a scar forms.

What are the phases of wound healing?