Locations and Tissue Types

A vocabulary set covering anatomical locations vulnerable to pressure injuries and various tissue types encountered in wound assessment.

Common Pressure Injury Sites

Sacrum/coccyx, trochanter, ischial tuberosity, heel, lateral malleolus.

Ischial Tuberosity

Pressure injury site common in prolonged sitting.

Side-Lying Vulnerable Sites

Greater trochanter or lateral malleolus.

Supine Positioning Sites

Heel or sacrum.

Pressure Injury Margins

Often appear rounded or crater-like with regular edges.

Partial-Thickness Tissue Loss

Damage involving the epidermis and dermis.

Full-Thickness Tissue Loss

Damage extending through skin into subcutaneous or deeper tissues.

Granulation Tissue (Appearance)

Beefy red/pink, puffy, irregular or bubbly.

Granulation Tissue (Indication)

Healing tissue in a full-thickness wound.

Clean Nongranulating Tissue

Smooth deep pink or red tissue.

Hypergranulation

Granulation protruding above the wound edges.

Hypergranulation Complication

It delays epithelialization.

Slough (Appearance)

Yellow, green or gray; wet and stringy.

Slough

Nonviable necrotic tissue.

Eschar (Appearance)

Black or brown; dry, hard, thick and leathery.

Eschar

Nonviable necrotic tissue.

Epithelial Tissue (Appearance)

Delicate deep-pink to pearly-pink or lavender tissue.

Epithelial Tissue Wound Closure

It migrates inward from the edges over the wound bed.

Exposed Muscle

Pink to dark-red, firm and striated.

Healthy Tendon

Shiny white or yellow fibrous tissue.

Tendon Function

Attaches muscle to bone.