Cover with a biocclusive if the drainage is less than moderate to severe. Otherwise cover with ABD pads to absorb the drainage. Change QD to BID depending on the amount of exudate. If by chance the pressure ulcer is dry, then hydrate the wound using hydrogels or hydrogel impregnated sheets to keep a moist wound environment. Stage IV Full thickness skin loss acompanied by extensive lower layer tissue destruction of fascia, muscle.
Destruction usually involves tissue loss down to the bones and joints.
Necrosis and eschar formation will be extensive. Initiate an aggressive turning and pressure reduction program. Debride all necrotic tissue and eschar using sharp, blunt and enzymatic debridement techniques. Cover with biocclusives or ABD pads where appropriate. Change the dressing QD to BID depending on the amount of exudate created.