NCS2101 Lecture 4: Wound classification activity
NCS2101 Adult Health Activity
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Wound classification and description - answers
1
2
• Stage 4 pressure injury
• Full thickness tissue
loss
• Slough present
• Chronic
• Non surgical
3
• Full thickness
• Chronic
• Leg ulcer
4
• Acute
• Surgical
• Primary intention
5
• Chronic
• Necrotic
• Eschar
• Unstageable
6
• Chronic
• Rolled edge
• Slough
• Stage 3 pressure injury
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NCS2101 Adult Health Activity
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• Infection
• Tunnelling
• Unstageable pressure
injury
8
• Chronic
• Rolled edges
• slough
9
• chronic
• tunnelling
• slough
• unstageable
10
• Lesions
• Rash
• Some dry some moist
• Subacute
11
• Sinus tract/ tunnelling
• Red wound
12
• Undermining
• Slough
• Unstageable pressure
injury
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NCS2101 Adult Health Activity
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13
• Slough
• Yellow wound
• Infection
• Oedema
• Exudate
• Necrotic
14
• Slough
• Unstageable pressure
injury
• Chronic
15
• Chronic
• Black wound
• Unstageable pressure
injury
• Eschar
16
• Red wound
• Granulation
17
• Epitherlial tissue
18
• Red wound
• Granulation
• Partial thickness
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Document Summary
6: stage 4 pressure injury, full thickness tissue loss, slough present, chronic, non surgical, full thickness, chronic, leg ulcer, acute, surgical, primary intention, chronic, necrotic, eschar, unstageable, chronic, rolled edge, slough, stage 3 pressure injury. 12: infection, tunnelling, unstageable pressure injury, chronic, rolled edges, slough, chronic, tunnelling, slough, unstageable, lesions, rash, some dry some moist, subacute, sinus tract/ tunnelling, red wound, undermining, slough, unstageable pressure injury. 18: slough, yellow wound, infection, oedema, exudate, necrotic, slough, unstageable pressure injury, chronic, chronic, black wound, unstageable pressure injury, eschar, red wound, granulation, epitherlial tissue, red wound, granulation, partial thickness. 24: red wound, granulation, hyper granulation tissue, non surgical, maturation phase, muscle tissue, forceps holding tissue to reveal muscle, surgical site, muscle tissue, stage 4 pressure injury, chronic, tendon, bone. 29: yellow wound, slough, red wound, granulation. 34: purulent excudate, infection, dry wound, good healing, stage 4 pressure injury, chronic, stage 3 pressure injury, chronic, surgical wound, secondary intention, subacute.