Deciphering between Eschar and Slough | allnurses

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.
  2. 5 Comments so far...

  3. Visit  loriangel14 profile page
    My medical dictionary defines eschar as slough that is dark in color.I always understood that eschar was black dry slough.
  4. Visit  woundcareliz profile page
    Is this a foot wound?
  5. Visit  followyourbliss profile page

    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.
  6. Visit  afjgnp profile page
    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.
  7. Visit  cxlxmx profile page
    I was just looking at a wound with a doctor who referred to light-colored but hard material as eschar.