create new concept - stable eschar


HI Holly,

Yes, the SMEs said there is a difference between eschar and stable eschar so they would recommend 2 different terms. I questioned them on whether or not 2 terms were needed. They provided a link to the NPUAP website for stable eschar, I bolded it in the text below. In comparing that definition with what was provided for eschar, I think the difference is whether the eschar is intact or not. So, John will need to model a new concept stable eschar and add it to the wound bed appearance refset.

Stage 4 Pressure Injury: Full-thickness skin and tissue loss
Full-thickness skin and tissue loss with exposed or directly palpable fascia, muscle, tendon, ligament, cartilage or bone in the ulcer. Slough and/or eschar may be visible. Epibole (rolled edges), undermining and/or tunneling often occur. Depth varies by anatomical location. If slough or eschar obscures the extent of tissue loss this is an Unstageable Pressure Injury.

Unstageable Pressure Injury: Obscured full-thickness skin and tissue loss
Full-thickness skin and tissue loss in which the extent of tissue damage within the ulcer cannot be confirmed because it is obscured by slough or eschar. If slough or eschar is removed, a Stage 3 or Stage 4 pressure injury will be revealed. Stable eschar (i.e. dry, adherent, intact without erythema or fluctuance) on the heel or ischemic limb should not be softened or removed


Susan Castillo
November 1, 2017, 3:45 PM

Holly can you create a specific definition - stable eschar – to be added to the text definition of the concept john will create

Holly Miller
November 1, 2017, 4:53 PM

Please add term for "stable eschar" with definition of: Adherent, intact without erythema or fluctuance) eschar.

John Kilbourne
November 1, 2017, 5:03 PM

Concept added to SOLOR extension and to refset, including nursing dialect name.


Susan Castillo


Susan Castillo



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