Deciphering between Eschar and SloughRegister Today!
- by HHnurse22 Aug 14, '12Ok, 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 by loriangel14My medical dictionary defines eschar as slough that is dark in color.I always understood that eschar was black dry slough.
- Aug 18, '12 by woundcarelizIs this a foot wound?
- Aug 19, '12 by followyourblissHHnurse22,
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 by afjgnpplease 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 by cxlxmxI was just looking at a wound with a doctor who referred to light-colored but hard material as eschar.