Unstageable (Eschar Covered) Pressure Ulcers

Wound staging is the appropriate way to describe a pressure ulcer. According to National Pressure Ulcer Advisory Panel (NPUAP) Guidelines, unstageable (eschar covered) pressure ulcers are characterized by:

"Full thickness tissue loss in which the base of the ulcer is covered by slough (yellow, tan, gray, green or brown) and/or eschar (tan, brown or black) in the wound bed.

Until enough slough and/or eschar is removed to expose the base of the wound, the true depth, and therefore stage, cannot be determined. Stable (dry, adherent, intact without erythema or fluctuance) eschar on the heels serves as "the body's natural (biological) cover" and should not be removed."

Before classifying a wound as a pressure ulcer, it should be established that there is not another health condition that predisposed the individual to the wound and that would change the wound type.

Many lower extremity wounds of diabetic and arterial origin have been mistaken for pressure ulcers, and if care is not used to establish and understand the conditions driving the wound, then some important components of a comprehensive treatment plan may be overlooked.

To appropriately establish wound type and cause, a thorough wound assessment should be completed as required by state and federal guidelines. The Advanced Healing Institute Wound Assessment Guideline requires a detailed assessment of the whole patient and their history as well as other factors including duration of the wound, patient’s recollection of the causative factors, complaints of pain, fever, numbness or drainage.

Proven Treatment for Pressure Ulcers

The TRUHEAL Wound Program is a proven method for healing non-healing or slow-healing unstageable pressure ulcers in every care setting, including the home. The TRUHEAL Wound Program is the outcome of exhaustive research in wound care outcomes by Advanced Healing Institute.

TRUHEAL combines two breakthrough therapies with well-researched procedures to speed up the wound healing process, even when other treatments have failed. Innovative technologies include:

• TRUHEAL Electromagnetic Pulse Therapy (EMPT), a proprietary technology for directing a specific radio frequency signal to stimulate the proliferation of human fibroblast cells in chronic wounds.
• TRUHEAL Catalytic Nanosilver™ Solution, a revolutionary drug-free silver spray with a composition and method of action that makes it different than any other silver-based product.