Pressure sores are divided into different stages: Stage 1= Intact skin with non-blanchable redness over a localized area Stage 2= Partial thickness loss of dermis, shallow open ulcer with a pink base Stage 3= Full thickness ulcer but tendons, muscles and bone are not exposed Stage 4- Full thickness wound with exposed tendons, muscle and bone Unstageable-Full thickness tissue loss with the base covered with an eschar or yellow, gray or brown tissue The client already has a pressure sore that requires cleaning to remove any tissue debris that may act as nidus for infection, placing a hydrocolloid dressing protects and debrides the wound to promote healing Monitoring skin integrity is key to ensure no other pressure sores develop. Nutritional status determines the risk of developing pressure injury and the chances of wound healing.