Deciphering between Eschar and Slough

  1. 0
    Ok, so I saw a patient with a pressure ulcer that healed a long time ago, but on my first assessment of him, he had a very hard callous like, light colored covering over the wound bed. I think there is probably something brewing under this layer of hard tissue. My question is if this can be documented as eschar since it is hard dead tissue? I am unsure due to the light coloring of the tissue.
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  3. 5 Comments so far...

  4. 0
    My medical dictionary defines eschar as slough that is dark in color.I always understood that eschar was black dry slough.
  5. 0
    Is this a foot wound?
  6. 0
    HHnurse22,

    Where is the wound; and how are you treating it?
    I would describe it as hard adherent slough.
    Where I work the wounds are constantly "de roofed" exposing lots of soft slough etc. Perfect breeding ground
    Do you have a standardized Wound Care Assessment Flow Sheet?


    Keep us posted.
  7. 0
    please correct me if I am wrong, slough is soft and mushy and eschar is hard no matter the color. It is usually black but I have heard of tan eschar. Please let me know if I am wrong.
  8. 0
    I was just looking at a wound with a doctor who referred to light-colored but hard material as eschar.


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