At my facility, there is a gentleman that has a chronic stage IV pressure ulcer that is healed. It is on his ischium and has healthy epithelial tissue to the skin surface however this wound created a 4 cm. indentation that will still need to be cleaned routinely. The concern is how to heal this out in our documentation, according to guidelines and call it a healed stage IV instead of an active DU. I've been told by University Wound Care Nurses that this is possible. I need more information as to how to have our staff physician properly document this so as to follow standards of practice. Any suggestions?