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Grade 2

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Grade 2 pressure ulcers present as partial thickness wounds with damage to the epidermis and / or dermis. Skin can be cracked, blistered and broken. Some of the epidermal appendages are intact and a granulation bed can be resurfaced1.
The treatment priority is the prevention or reduction of the pressure leading or contributing to skin damage. The repositioning of bed bound or immobile patients is a vital part of management and a schedule can be drawn up to assist in this2. Pressure relieving equipment such as bed mattresses and foam and air based cushions are also widely used.
Where wound exudate is in evidence, hydrocolloid dressings can be effective in absorbing this and creating a moist wound healing environment. 3M™ Tegaderm™ Hydrocolloid Dressing or 3M™ Tegaderm™ Hydrocolloid Thin Dressing are available with a film border for added security and conformability making them particularly suited to dressing pressure ulcers in hard to dress areas (i.e. heels / sacrums).
3M™ Tegaderm Foam Adhesive can be used if the area is vulnerable i.e. a bony prominence, and needs extra protection.
3M™ Cavilon™ No Sting Barrier Film can also protect the wound from trauma and the peri-wound area from maceration.

1. European Pressure Ulcer Advisory Panel. Pressure Ulcer Treatment Guidelines
2. Berlowitz, D.R., Wilking, S. (1989) Risk factors for pressure sores. J Am Geriatrics Soc. 37:11, 1043-1049
Information provided with support from the Wound Healing Research Unit, Cardiff.

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