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Pressure Injury Staging Guide

Pressure Injury Staging Guide 2026

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The document is a Pressure Injury Staging Guide that outlines the classification of pressure injuries into four main stages, along with two temporary categories. It details the characteristics of each stage, including signs and symptoms, and emphasizes the importance of accurate staging for effective treatment. Additionally, it addresses mucosal pressure injuries, highlighting their unique features and the limitations of using the standard staging system for these types of wounds.

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Click ‘Get Form’ to open the Pressure Injury Staging Guide in the editor.
Begin by reviewing the four stages of pressure injuries outlined in the guide. Familiarize yourself with each stage's characteristics, including signs and symptoms.
Fill in any required fields, such as patient information and assessment details. Ensure accuracy to facilitate effective communication among healthcare providers.
Utilize the comment section to note any observations regarding skin condition, especially for individuals with darker skin tones where detection may be challenging.
Refer to the temporary categories and mucosal pressure injuries sections as needed, ensuring all relevant information is documented.
Once completed, save your changes and share the document directly from our platform for seamless collaboration with your team.

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What is the grading tool for pressure sores?

NICE recommends considering using a validated scale, such as the Braden scale, the Waterlow score, the Norton risk assessment scale, or the Braden Q scale (for children), when assessing pressure ulcer risk.

What are the 5 stages of pressure injuries?

Stage 1: just erythema of the skin. Stage 2: erythema with the loss of partial thickness of the skin including epidermis and part of the superficial dermis. Stage 3: full thickness ulcer that might involve the subcutaneous fat. Stage 4: full thickness ulcer with the involvement of the muscle or bone.

What is the difference between Stage 4 and unstageable?

Stage 4 pressure injuries extend to muscle, tendon, or bone. Unstageable pressure injuries are when the stage is not clear. In these cases, the base of the wound is covered by a layer of dead tissue that may be yellow, grey, green, brown, or black. The doctor cannot see the base of the wound to determine the stage.

What is the pressure injury rating scale?

The three most widely used scales are the Braden Scale, the Norton Scale, and the Waterlow Scale. The Braden Scale,1,7,8 which is commonly used in the United States, consists of six items: sensory perception, moisture, activity, mobility, nutrition, and friction and shearing.

What are the guidelines for staging pressure ulcers?

The stages are as follows: Stage 1: The skin is intact with nonblanchable erythema. Stage 2: There is partial-thickness skin loss involving the epidermis and dermis. Stage 3: A full-thickness loss of skin extends to the subcutaneous tissue but does not cross the fascia beneath it.

What is a Grade 3 pressure injury?

Category 3: Full thickness skin loss Full thickness tissue loss. Subcutaneous fat may be visible, but bone, tendon or muscle are not exposed. Slough may be present but does not obscure the depth of tissue loss. May include undermining and tunnelling.

What is the grading system for pressure injuries?

Pressure sores are graded to four levels, including: grade I skin discolouration, usually red, blue, purple or black. grade II some skin loss or damage involving the top-most skin layers. grade III necrosis (death) or damage to the skin patch, limited to the skin layers.

Pressure Injury Staging Guide 2026

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What is the grading tool for pressure sores?

What are the 5 stages of pressure injuries?

What is the difference between Stage 4 and unstageable?

What is the pressure injury rating scale?

What are the guidelines for staging pressure ulcers?

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What is a Grade 3 pressure injury?

What is the grading system for pressure injuries?

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Pressure Injury Staging Guide 2026

Here's how it works

How to use or fill out Pressure Injury Staging Guide with our platform

Complete this form in 5 minutes or less

Got questions?

What is the grading tool for pressure sores?

What are the 5 stages of pressure injuries?

What is the difference between Stage 4 and unstageable?

What is the pressure injury rating scale?

What are the guidelines for staging pressure ulcers?

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People also ask

What is a Grade 3 pressure injury?

What is the grading system for pressure injuries?

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