Table-1.
Parameters | 0 | 1 | 2 | 3 | 4 |
---|---|---|---|---|---|
Skin color | Pink | Erythematous | Dark | - | - |
Pain | None | Present | - | - | - |
Granulation tissue | None | Present | - | - | - |
Exudate (type) | None | Serous | Serohemorrhagic | Hemorrhagic | Purulent |
Exudate (amount) | None | Light | Moderate | Heavy | - |
Eschar | None | Present 025% surface area | Present, >25% surface area | - | - |
Fistula | None | Present | - | - | - |
Lesion size (diameter in cm) | 0 | <0.5 | 0.51 | 13 | >3 |
PUSH=Pressure ulcer scale for healing, BWAT=Bates-Jensen wound assessment tool, WBS=Wound bed scoring