Get Quotes From a Number of Local Stage Hire Companies in One Go. Fill in 1 For Shop Our Extensive Range Of Clutch Kits With Free Delivery. Order Online Today. The UK's Number 1 Supplier Of Car Parts With Over 200 Branches Nationwide & 130k+ Parts
Stage 4 bedsores are the most severe form of bedsores, also called pressure sores, pressure ulcers, or decubitus ulcers. A stage 4 bedsore is characterized by a deep wound that reaches the muscles, ligaments, or even bone. They often cause residents to suffer extreme pain, infection, invasive surgeries, or even death . Stage 4 bedsores may occur in conjunction with other medical skin conditions, but in many cases stage 4 bedsores occur due to the result of nursing home negligence or elder caretaker negligence Stage 4 Bedsores. A stage 4 bedsore is a large wound in which the skin is significantly damaged. Muscle, bone, and tendons may be visible through a hole in the skin, putting the patient at risk of serious infection or even death
What are the symptoms of bedsores? Bedsores are divided into 4 stages, from least severe to most severe. These are: Stage 1. The area looks red and feels warm to the touch. With darker skin, the area may have a blue or purple tint. The person may also complain that it burns, hurts, or itches. Stage 2 Stage 4 bedsores in your loved one's scenario will never heal. In order to heal, the person must have proper nutrition to make the new tissue needed to fill the wound in. These folks specifically a good protein intake. In tandem with proper nutrition & hydration she'll need to be repositioned every 2 hours, use an air mattress, etc Stage 4 is quite dangerous, as there can be serious complications such as sepsis or even infection in one's bones. In fact, due to the infection risk and other underlying medical issues, a stage 4 bedsore can be a terminal bedsore. While there is treatment available, the stage 4 bedsore prognosis isn't always good The High Mortality Rate Among Those with Stage Four Sores. Of those who developed stage four bedsores, almost 69% died inside of a period of 180 days. The average length of time between the development of stage four pressure sores and death was merely 47 days Recovery time: A Stage 4 pressure sore could take anywhere from 3 months or much longer, even years, to heal. Other Stages. In addition to the 4 main stages for bed sores, there are 2 others
A Stage 4 bed sore occurs when the wound extends through the skin layers and into the subcutaneous tissue (underlying fat and muscle) such that bone, tendon, or muscle is exposed. Just like in a Stage 3 wound, a Stage 4 is a full thickness wound, meaning the wound bed is within the subcutaneous tissue.. Stage 3 and 4 - these bed sores requires special attention. The cleaning can be done by someone who is a specialist like doctor or nurse. Please don't attempt at home. Dressing. Dressing the sores is important to keep it covered. Sometimes gauze is used to keep the area moist and must be changed every day. Advances in medicine has developed. Developing a bed sore (particularly a more advanced wound such as a stage 3 or 4) requires medical intervention to heal and prevent further complications. While some medical facilities are notorious for disputing the severity of a wound, insisting on immediate medical attention can mean the difference between a recovery and a spiraling series. Stage 4 Bedsores are initially standard skin lesions caused by a lack of mobility, which if patients are left immobile or highly sedentary over a period of days or longer, progressively worsening bedsore infections and wounds are likely to develop. In cases of nursing home neglect, this is more than evident, as stage four (4) bedsores are the.
A bedsore is treatable, but without treatment, it can lead to fatal complications. You may follow the Best 100 Hospitals in the World. Fig: Bedsore stages Different Stages of Pressure Ulcer or Bedsore: The stages of pressure ulcer or bedsore are grouped by the severity of symptoms Stage 4: It may be possible to see bone through the wound. The exposed muscle will suffer damage, and the involved party will need rehabilitation to move if the opportunity to heal arises. As mentioned, compensation in a bedsore settlement will vary based on the severity of a party's bedsores Treatment for Stage 4 Bedsores. Treating a bedsore at this stage is a matter of minimizing further discomfort to the patient and attempting to control any infections and other co-occurring medical conditions. Stage 4 bedsores require immediate intervention from a medical professional. Effective management of symptoms may include Surgery may be required to correct a stage 4 bedsore. If the infection worsens, the patient may die. While antibiotics should already have been prescribed, antibacterial and antiviral drugs become an absolute necessity at stage 4. The infection, if left untreated, can lead to sepsis, a blood infection that is fatal in many cases A Stage 4 bedsore it also known as a decubitus will very in sizes and depths but the primary characteristic is that it will grow through the skin, fascia, muscle tissue, tendons and may show bone exposure. I tried to put the least gross picture.
Next, pressure ulcers have 4 stages. A stage 1 bedsore is not an open wound while a stage 4 bedsore is quite deep reaching the bone or muscle. Stage 3 and 4 pressure sores are considered life threatening and could take months to heal (and may not completely heal) Care for pressure ulcers depends on how deep the wound is. Generally, cleaning and dressing a wound includes the following: Cleaning. If the affected skin isn't broken, wash it with a gentle cleanser and pat dry. Clean open sores with water or a saltwater (saline) solution each time the dressing is changed. Putting on a bandage $500,000 — an 89-year-old man developed stage II bed sores after just four weeks of staying at a nursing home. When he was taken to the hospital to be treated for his bed sores, his condition worsened, and he soon died due to infection. The man's estate sued both the nursing home and the hospital for negligence. The case settled for $500,000
Stage 4 bedsores are the most severe form of bedsore. Stage 4 occurs when the tissue has decayed down to the muscle. Severe bedsores put nursing home residents at serious risk of infection. They are also easily preventable if a nursing home is doing its job correctly. Severe bedsores are a clear sign of nursing home negligence A stage 4 pressure ulcer is the worst, most severe stage of bedsore and should not occur inside an ALF. If you are unsure what stage pressure ulcer your loved one developed at the ALF, get them to a hospital where the wound can be properly treated and staged by neutral healthcare providers who are not affiliated with the Assisted Living Facility During stage 3, the potential for serious infection increases. Surgery will be needed, coupled with an in-wound pump to remove the infection. Stage 4: In a stage 4 bedsore, the wound will likely show not just tissue and fat, but also tendons, muscle and possibly bone. At the bottom of the wound (the deepest point), you will likely notice dark. Stage 4 - Deep, open wound with muscle, bone, and connective tissue visible. Stage 1 and 2 bedsores usually heal with conservative treatment, including relieving the pressure that caused the sore. Bedsores that have progressed to Stage 3 or 4 require more aggressive measures, including wound-care treatment, where the infected tissue is.
my 83 yr old father has a stage 4 bedsore with a wound vac. he has lost 10 lbs. i know these can be fatal-what would be the progression of this: 19. asmita. Sep 8, 2010 @ 11:11 am. Hi my 75 year old mother has grade 4 bedsores, she is losing weight rapidly and diabetic . what is the best dressing and treatment for her. 20 Stage 4: The worst form of bedsore. Tissue loss is common and muscle and tendon damage is also possible. It's also common for tendons, muscle, and even bone to be showing through the bedsore. Dead tissue can even appear at the bottom and on the edges of the wound Stage 3 or 4 bed sores are among the most horrific examples of medical neglect. At that stage, bed sores are gaping wounds. Photographs of these nasty injuries seem to hasten the facilities to resolve any pending legal action quickly before they go to trial. It seems that hospitals have been advised to settle before a jury gets a look at how. Stage Three and Stage Four Bedsores. If the bedsores are not caught in the earlier stages, they will develop into stage three and stage four bedsores. In stage three, the bedsore becomes a deep wound and some fat may be exposed. The wound may look like a crater and some yellow-colored, dead tissue may develop Stage 3: The sore may become infected at this stage, with skin or tissue beginning to turn black or gray as it deteriorates. A stage 3 bedsore generally takes several months to completely heal. Stage 4: The most serious stage, bedsores at stage 4 are characterized by the sore deepening all the way to the muscles or bones. At this stage, a.
. The degree of skin and tissue damage ranges from red, unbroken skin to a deep injury involving muscle and bone. Common sites of pressure ulcers. For people who use wheelchairs, bedsores often occur on skin over the following sites: Tailbone or. Once a victim reaches that last stage of bedsores, the disease becomes extremely serious and life-threatening. According to the NPUAP scale, stage 4 bedsore symptoms consist of: Large amounts of skin loss. Severely damaged skin. Damage to the muscles, bones, tendons, and joints in the affected area. Potential for sepsis Stage 2 - Stage 2 bedsores involve damage to the primary and secondary layers of skin. The wound bed will be pink or red, most and may present as a fluid-filled blister in some cases. Stage 3 - Stage 3 wounds involve the first layer tissue through the skin and into the fascia, but not bone or muscle
Stage 2: violated the integrity of the upper layers of the skin, likely to cause blisters and ulcers. 3rd stage: the skin is damaged down to the muscle layer. Color bedsores from light blue to black. Probable liquid discharge from the wound. Stage 4: the most severe pressure lesions of the skin. Damage is possible not only on the skin of the. Stage 4 Bedsores. Stage 4 bedsores are the worst type of bedsore and manifests as full thickness tissue loss. Stage 4 bedsore characteristics are: Bones, tendons or muscle is exposed. Presence of Slough. Can extend into extend into other surrounding muscles or tendons potentially leading to osteomyelitis or osteitis Stage 3 involves the full thickness of the skin and may extend into the subcutaneous tissue layer; granulation tissue and epibole (rolled wound edges) are often present. At this stage, there may be undermining and/or tunneling that makes the wound much larger than it may seem on the surface. Stage 4 pressure ulcers are the deepest, extending. Bedsores, sometimes called pressure sores or decubitus ulcers, can develop in people who have been confined to bed for long periods of time, are unable to move for short periods of time, or who use a wheelchair or sit in one spot for long periods of time. Other complications, such as aging, circulation and decreased sensation, can increase the. The tissue must have pressure relief or tissue injury will occur and flap surgery may be the result. A flap surgery is followed by months of recovery and very little time out of bed. This is a sample of what to expect if a pressure ulcer is so severe that a flap surgery is needed. The following is a post taken from a public forum written by the.
Stage 4 bedsores serious lesions that have been allowed to go through stages 1, 2 and 3. If the patient is left immobile or stationary for days or longer, bedsores can get worse and become infected. In nursing home neglect cases, stage 4 bedsores are one of the most common signs Stage 1 bedsores do not feature any broken skin. Stage 2 affect the top layers of skin, and stage 3 bedsores affect the fat and other structures underneath the skin. By the time a pressure ulcer reaches stage 4, the underlying tendons, joints, ligaments, and bones are often visible. The body's skin is the first line of defense against infection What are the symptoms and stages of bedsores. Pressure ulcers usually differ in skin color, which is covered with yellow, brown, greenish spots. A region strongly affected by the ulcerative process acquires a dark purple or maroon tint. In the development of the disease, there are 4 stages, depending on the damage to the skin Stage 4 bedsores are deadly and recovery time for this serious injury can range from three months, on the short end, to years on the longer end. Remember, all hospitals have a duty of care to their patients. This means taking care of the whole patient, including the patient's skin
$5 Million Jury Verdict for Stage 4 Bed Sore and Wrongful Death. by Robert Kreisman. Ellis Mae Reed, 72, had a history of significant health problems that included diabetes and vascular disease. After she developed a blood clot, she was admitted to Jackson Hospital. For five days, she remained bedridden Stage 4 bedsore is a continuous battle with infection, and the patient may never fully recover. Common infections affiliated with Stage 4 bedsores include cellulitis or sepsis. A Stage 4 bedsore is frightening in appearance and can be deadly. It shoul Scary bed sore facts: Bed sores in the elderly (65+) account for 50% of all bed sores. 2.5 million patients per year develop bed sores. The cost to treat them is $9.1 billion to $11.6 billion per year in the US. Individual patient care ranges from $20,900 to $151,700 per bed sore. Each bed sore adds $43,180 in costs to a hospital stay Stage 2: superficial erosion of the skin -- often appears as an abrasion, blister, or shallow crater. Stage 3: full thickness skin loss to the level of fat. Stage 4: full thickness skin loss + involvement of underlying structures (e.g. Muscle, bone, etc). 6258 views In many cases, bedsores become severely infected and progress through intensifying stages. As a result, bedsore patients must often undergo extensive medical treatments and endure severe pain. Bedsore settlements may be awarded to compensate residents for financial, physical, and mental hardships sustained
Stage 4- Bedsores at this stage are the most serious and can affect and expose your muscles, bones, and tendons. The sores are usually big and deep. The area surrounding the bedsores usually turns black and is clearly infected. Stage 4 bedsores can require surgery, extended antibiotics to fight infection, and often lead to sepsis Pressure ulcer also called bedsore and decubitus ulcer is injuries to the skin and underlying tissue when there is friction or unrelieved pressure on one part of the body. Bedsore can develop on any part of the body, but the bony areas around the elbows, knees, heels, coccyx, and Read more 4 Bed Sores Stages | Bedsore Complication
When a pressure sore is at stage 3 it is more than the skin that is affected. At this point, the tissue located under the skin is also involved. The sore may appear like a crater and infections of the blood or bone may occur. By the time bedsore reaches stage 4, the damage is extensive. In addition to skin and tissue, joints, tendons, bone and. Stage 3 - In the third stage, the bed sores enter into the second layer of the skin and reach fat tissues. Now, these sores release a bad odor and look like craters. Stage 4 - The most serious stage of bed sores that highly affects body's ligaments and muscles. This stage include big and deep sores, stained skin color and sometimes. What Are the Different Bed Sore Stages? There are four stages namely. Stage 1: The sore is like a bump on the skin. Stage 2: The skin over it breaks and form an ulcer. Stage 3: Sore deepens and damages the tissue beneath. Stage 4: Wound deepens and reaches till muscles and bones. How to Treat Bed Sores at Home 4. Plan for postoperative relief of pressure on the flap, 5. Plan for postoperative relief of involuntary muscle spasms if necessary. Flap surgeries for pressure sores have a very high failure. Bedsores are staged based on severity from Stage 1 to Stage 4. A Stage 1 bedsore is a smaller red spot, while a Stage 4 bed sore is a severe, cavernous wound that may be infected with osteomyelitis. Below are professional pressure injury illustrations that depict the various stages of bedsores
Stage 4 Bedsore Stage 4 bedsores are the most serious and at the most advanced stage. The sores destroy muscle, bone and even tendons and joints and can often be lethal. It is imperative to tell your doctor right away as stage 4 can require surgery. In stages 3 and 4 there is often excruciating pain due to significant tissue damage Bedsores are staged, or classified, starting with stage 1, 2, 3 with the worst being stage 4. What often happens is a bedsore will develop and be at stage 1, and then progress through the levels 2 and 3 until stage 4 where it actually develops into a sore that goes down to the bone
Stage 4 Bedsore. Stage four is by far the most severe type of bedsore. Now the tissue loss has extended into the muscle. Tendons may also be affected by the time the ulcer reaches stage four. Bone will start to show through the ulcer sore itself and necrosis might set in Bed sores can vary in severity and are commonly classified into one of four main stages: Stage 1: a superficial sore that creates redness over the affected area. Stage 2: the ulcer creates a break in the skin or forms a blister. Stage 3: the sore consumes all of the skin and begins to affect the fat tissue below the skin What are the Symptoms of Bedsores? Bedsores are divided into 4 stages. According to Johns Hopkins, from least severe to most severe, the stages of bedsores are: Stage 1.The area looks red and feels warm to the touch. With darker skin, the area may have a blue or purple tint. The person may also complain that it burns, hurts, or itches. Stage 2 Stage 4 bedsores are the most serious and affect the skin and layers of tissue down to the muscle and bone. At this stage, serious bruising and drainage may be present. Unfortunately, bedsores are more common than you may think. The Centers for Disease Control and Prevention (CDC) found that 2.5 million individuals suffered from bedsores in. (The medical term for a bedsore is a decubitus ulcer.) Usually, a bedsore will heal once the person is more active (spending less time laying in bed) or with more frequent repositioning in bed (such as having the nurses or family roll the patient in bed every two hours, in order to give the skin a chance to heal and 'breathe')
A Stage 4 bedsore usually affects the muscles and ligaments. They can take months to heal or may never heal in people with chronic conditions, according to Medical News Today . Bedsores commonly form on the skin that covers the body's bony areas— or those with the least fat and muscles covering them, such as the hips, tailbone, back, and. .60. Ships from and sold by CPR Savers & First Aid Supply LLC. Medline Skintegrity Wound Cleansers, Fast and Thorough Wound Cleansing, Bottle with Trigger Sprayer $12.58 ( $0.79 / 1 Fl Oz) In Stock. Sold by Medicalbazaar and ships from Amazon Fulfillment Bedsores or pressure sores or decubitus ulcers, evolve in stages. There are four stages of a bedsore, Stage 1 through Stage 4. Stage 1 is simply a reddened area. Stage 2 involves actual breakdown of the skin. Stage 3 involves more skin breakdown and a deeper wound. And Stage 4 is the most serious decubitus ulcer. Many Stage 4 ulcers never heal
Stage 4. Stage 4 bedsores are the most severe that are classified. At this stage, there is almost always a deep open wound. These sores are very difficult to treat, and can certainly lead to a series of complications. At stage 4, the patient may experience: Necrosis Stage 4: By now there is damage to underlying muscles and possible exposure of bones. The ulcer now is in extremely advanced stages. Causes: Bed sores are caused by sustained pressure applied on a certain section of the body. These are typically seen to occur more above the portions having bones and cartilages There are four generally accepted stages of bedsores; however, a fifth stage is sometimes used to explain exceptionally deep decubitus ulcers. The descriptions are as follows: Stage I - A Stage I decubitus ulcers usually appears as a red spot on the skin that fails to disappear once the pressure from the area is relieved
. Other characteristics of sores in this stage include redness, pus, and discolored drainage. Stage 4. Considered the most serious type of bedsores, Stage 4 ulcers will form deep craters that afflict the muscle and can even expose a patient's bone Bedsores are small injuries to the skin that start as shallow wounds, sometimes called stage one sores. Left untreated, these sores can quickly progress into deeper sores that cause considerable pain and may become infected In some cases, damage from bed sores can go deeper than the skin. Bed sores may get worse over time. Doctors classify bed sores into different levels, or stages, to indicate how severe they are and how much tissue damage is present, according to the Mayo Clinic. Stage I: Discolored areas, possibly painful, but no broken ski
Stage one and two bedsores can usually be healed in a few weeks or months, but pressure ulcers in the third and fourth stage can be much more difficult to heal. The first thing one should do is to reduce the pressure that caused bedsore Stage 3 & 4 Bed Sores / Decubitus Ulcers. When a patient has a stage 3 or stage 4 bedsore, one will notice the skin is broken down and there is extensive destruction or damage to the underlying muscle, bone or supporting structures. Ulcers are extremely difficult to heal and may take many months for complete repair. Preventing the development. However, only half of Stage 3 sores (those that penetrate into the fat layer) and only 30 percent of Stage 4 bed sores (those that penetrate into muscle and bone) heal in that amount of time, according to the American Academy of Family Physicians. For these more advanced bed sores, surgical consultation is often recommended Stage 4 - The most serious bedsores may affect muscles, tendons, or ligaments. They will be very deep, and muscle tissue or bones may be visible. Surgery may be needed to address the damage, and treatment will also be needed to address infections. Stage 4 sores will usually take several months or multiple years to fully heal Bedsores can lead to severe medical complications, including bone and blood infections. Symptoms. Bedsores are classified into stages, depending on the severity of skin damage: Stage I (earliest signs of skin damage) — White people or people with pale skin develop a lasting patch of red skin that does not turn white when you press it with.
Stage 4: A full thickness of skin and subcutaneous tissues are lost, exposing muscle or bone. Significant morbidity of decreased mobility is the development of a pressure ulcer as patients require a prolonged course of treatment to heal their wounds fully. Bedsores can also lead to related complications, including Understanding the Stages of Bedsore Development. As mentioned previously, there are several stages of bedsore development, ranging from Stage 1 to Stage 4. In some cases, a Stage 4 pressure ulcer may become so deep that it is considered unstageable and must be cleaned before doctors can even assess its severity Stage 4 Pressure Injury and Ulcer: By the final and most serious stage of a pressure sore, the skin may have receded into the muscle and bone, causing lasting damage to the skin and underlying areas. Known as full-thickness skin and tissue loss , this stage can involve visible or palpable fascia, tendon, muscle and bone, and even dead tissue
Stage 4 Bedsores - are the most severe stage, where the pressure ulcer has gone through all layers of skin, exposing muscle and bone Do I have a Hospital Bedsore Lawsuit? The Medical Malpractice Litigation Group at our law firm is an experienced team of trial lawyers that focus on the representation of plaintiffs in hospital bedsore lawsuits Stage 2 sores can be treated by medication and protective coverings, under the advice of a physician or wound specialist who may be a nurse of physician. The treatment for a Stage 3 or 4 sore often involves long-term dressings, a special bed, medications, (including antibiotics if there is insufficient healing), and perhaps even surgical. Wounds in this stage frequently need special wound care. You may also qualify for a special bed or pressure-relieving mattress that can be ordered by your health care provider. Healing time: More than one to four months. STAGE 4. Signs: The wound extends into the muscle and can extend as far down as the bone
First of all, we should highlight that bed sores go through several stages, which start with a superficial wound but that usually imply a loss of tissue and can even go as far as the bone. This is why this type of open wound requires constant medical supervision and qualified personnel to take care of healing Stage 2 - A degrading Stage 1 pressure sore declines to partial-thickness skin loss affecting the epidermis and partial dermis layers. A Stage 2 bedsore appears as a pink-red shallow open sore with no necrotic (dead) or slough tissue. There may be abrasion and a pus-filled or blood-filled blister An untreated bed sore is not just a skin wound—it's potentially deadly. Stage 3 and 4 bed sores can allow dangerous bacteria into the body and create serious infections like sepsis. In some cases, this infection prevents oxygen from reaching organs, sending patients into septic shock that must be treated immediately
Stage 4 wounds are extremely difficult to heal and can lead to lethal infections commonly identified as sepsis, even with aggressive medical attention. Particularly in patients with physical disabilities stage 4 bed sores may develop on: Tailbone, hips, or buttocks; Shoulder blades and spine; Heels; Back of the head or ear Bed sores are usually classified in four stages, with the less severe being stage 1. Stage 1 and stage 2 sores can successfully heal within a couple of weeks and with minimal bed sores treatment. Stage 3 and stage 4 bed sores can require much more intensive care and a prolonged recovery time  Treatment of Bedsores. The most important thing to keep in mind about the treatment of bedsores is that the most optimal outcomes find their roots in a multidisciplinary approach; by using a team of specialists, there is a better chance that all bases will be covered in treatment. There are seven major contributors to healing. Debridemen Stage 4 This level of bedsore is deep within the tissue down to the bone and muscle level and will bring about widespread damage. These bedsores are very serious. Bedsore and Pressure Ulcer Treatments. There are several treatments for Pressure Ulcers/Bed Sores. Treatment is determined by physicians, nurses, aides, social workers, physical.
For the individual patient, the current costs of providing care for one pressure ulcer can range from $3500 to over $60,000, depending on the stage of the ulcer 3). Bed sores change appearance over 4 stages. In the beginning, bed sores look red. By stage 4 (the most serious), the sores are deep and open Stage 1 and Stage 2 sores may heal within several weeks to months with conservative care and managing the risk factors according to the Mayo Clinic. Stage 3 and Stage 4 sores are more difficult to treat. For a person who has a terminal illness or chronic medical conditions bedsore and pressure sore treatment may focus primarily on managing pain. Vitalité reported a total of 174 bedsores — just three categorized as stage 4 — while Horizon reported 393. Both networks saw a drop in the number of recorded cases in the most recent year A Stage 4 bedsore may expose muscle, bone or tendons as the dead tissue wears away. Damage typically extends below the healthy skin that surrounds the pressure ulcer. Bedsores are more likely to occur where there is less body fat or muscle between skin and bone, such as at the spine, tailbone, shoulder blades, hips, heels and elbows
Stage 4 Bedsores If a pressure injury reaches stage 4, the damage has penetrated to the muscles and bones, and possibly full joints and tendons. At this stage, the wound will be very deep, and one will likely see body fat, muscle tissue, and even bone. Unstageable Bedsores. Some bedsores are unstageable due to a layer of dead skin covering up. Advanced Stages of Bedsore. Stage 3 and Stage 4 of bedsores occur when a person has pressure on the following areas: Tailbone. Buttocks. Shoulder blades. Spine. Backs of arms or legs. Hips. Lower back. Heels. Ankles. Skin behind the knees. Other areas where their body would rest on a wheelchair or in bed A qualified Michigan nursing home bedsores lawyer could investigate the conditions of a resident and try to determine if maltreatment led to their condition. The Effects of Bed Sores. The effects of a sore can be serious and even deadly. A resident with an advanced sore, such as a Stage 4 bedsore, may require flap surgery and additional treatment Decubitus ulcers occur in stages. There's a staging process to help your healthcare provider diagnose and treat you. Stage 1. The skin isn't broken, but it's discolored