NDNQI Pressure Ulcer Tutorial - Staging and Identification

Stage I Pressure Ulcer

Intact skin with non-blanchable redness of a localized area usually over a bony prominence. Darkly pigmented skin may not have visible blanching; its color may differ from the surrounding area.

Further Description: The area may be painful, firm, soft, warmer or cooler as compared to adjacent tissue. Stage I pressure ulcers may be difficult to detect in individuals with dark skin tones. May indicate “at risk” persons (a heralding sign of risk).

Used with permission Lippincott Williams & Wilkins*

* Maklebust, J., & Sieggreen, M. (2001). Pressure ulcers: Guidelines for prevention and management (3rd ed.). Springhouse, PA: Springhouse Corporation.