Wound Terminology

3. Moisture Associated Skin Damage- Damage to the skin from prolonged exposure to moisture or irritants.
5. Over growth of granulation tissue that rises above of the wound edges. Needs addressed as it prevents epithelialization of the wound
6. This is the redness of the skin resulting from increased blood flow to capillaries in the area, which often signals inflammation, irritation, or infection.
10. Fluid that leaks from blood vessels into surrounding tissues and wounds. there are several types of exudate and understanding the different types of exudate can help with understanding wound progress
11. Superficial wound where something rough rubs off the outer most layer of the epidermis. “ road Rash”
13. Tear damage to the epidermis caused by mechanical force that causes the separation go the skin layers.
15. Dry, thick, leathery black or brown necrotic tissue. Requires debridement
19. Incontinence Associated dermatitis- Damage to the skin from prolonged exposure to moisture from urine or feces.
20. Deep tissue pressure injury.
22. Mixture of clear and bloody exudate
24. This is when has rolled under or curled under edges. Delays epithelialization healing.
25. Soft, moist, yellow, white or grey necrotic tissue. Requires Debridement.

1. Tissue found in healing wounds. Beefy red or dark pink and bumpy in appearance.
2. Softening and breakdown of the skin caused by prolong moisture exposure. White pale and/wrinkled in appearance.
4. The removal of non-viable (necrotic) tissue.
7. Medical Device Related Skin Injury- A tear in the skin caused by the use and removal of medical adhesive in the form of tape or adhesive dressing.
8. Skin lesions resulting from calcium deposits that block small blood vessels leading to skin damage. Found in End stage renal disease (ESRD) and Chronic kidney disease (CKD)
9. Hospital Acquired Pressure Injury. A pressure injury identified after the first 24 of admission.
10. The regenerating of the outer layer of the epidermis. The final stage of healing. May be thin pale pink white or translucent in appearance. Also used in wound documentation to indicate a healed wound (100% epithelial)
12. This is the thickening of the outer layer of the skin, often appears like a callous. Often found in areas of friction or pressure. Can impede healing if not addressed.
14. This is the hardening of the tissue around the wound, indicating possible infection or inflammation.
16. Clear and yellow exudate
17. Bloody Exudate
18. Intertriginous Dermatitis-inflammation between skin folds from moisture and friction due to the lack of air flow.
21. Yellow, white, brown exudate (infected)
23. Clear exudate