What are the general principles of wound assessment and treatment for pressure injuries (pressure ulcers)?

Updated: Mar 26, 2020
  • Author: Christian N Kirman, MD; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Answer

General principles of wound assessment and treatment are as follows:

  • Wound care may be broadly divided into nonoperative and operative methods
  • For stage 1 and 2 pressure injuries, wound care is usually conservative (ie, nonoperative)
  • For stage 3 and 4 lesions, surgical intervention (eg, flap reconstruction) may be required, though some of these lesions must be treated conservatively because of coexisting medical problems [3]
  • Approximately 70%-90% of pressure injuries are superficial and heal by second intention

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