The treatment of pressure ulcers begins with a comprehensive assessment of both the patient and the wound.
Wounds should be evaluated for stage, size, sinus tracts, necrotic tissue, exudate, and the presence of granulation. This may be facilitated by using the staging systems described above.
Attention to precipitating factors is central to the treatment of all pressure ulcers. Preventive measures that are already in place should be reviewed and their intensity increased. This is particularly true for stage 1 ulcers, which may be a warning that more serious lesions are to follow.
Stage 2 pressure ulcers usually require an occlusive or semipermeable dressing that will maintain a moist wound environment. Wet-to-dry dressings are avoided since these wounds generally require little debride-ment.
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