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.
Aug 14, '12
My medical dictionary defines eschar as slough that is dark in color.I always understood that eschar was black dry slough.
Aug 19, '12
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.
Sep 27, '12
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.
Nov 8, '12
I was just looking at a wound with a doctor who referred to light-colored but hard material as eschar.