MASD vs stage II....

  1. Hi! I have recently returned to hands on wound care after a 6-7 year hiatus. It's amazing how many things have changed in those years! One "new" addition is the classification of MASD. Just wondering what characteristics you look for when decifering between the two. Sometimes, it's very easy but other times I really stuggle....I've looked on line for articles/books but haven't had much luck. Any advice would be greatly appreciated!!!
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    Joined: Jun '12; Posts: 3


  3. by   CWONgal
    Moisture associated dermatitis can contribute to the development of pressure ulcers because it weakens the tissue. Typically the skin is very reddened and can become denuded and weepy....think bad diaper rash. Additionally, it's not uncommon to see satellite lesions because dermatitis and fungal infections tend to go hand in hand. A stage II pressure ulcer looks as though the surface of the skin (epidermis) has come off and most often it's at a bony prominence. You can get these from medical devices as well. It reminds me of skinning your knee as a kid...epidermis is gone and initially the area feels tacky from serous exudate which can later dry out. Another presentation of a stage II is a serous filled blister. Hope this helps!