Table 2 Scale used to score the severity of pressure ulcers

Grade 1

Hair loss at the bottom of the foot, redness, minor skin abrasions

Grade 2

Hair loss, red skin, and break in skin, minor scab overlying break

Grade 3

Hair loss, red skin, swollen tissue, pus visible, peripheral scab formation

Grade 4

Hair loss, red skin, inflamed deep tissue and pus visible, abscess and/ or infection