When assessing a pressure ulcer, which of the following requires immediate intervention?

When assessing a pressure ulcer, full thickness loss with visible fat indicates a more advanced stage of tissue damage that poses a significant risk for complications such as infection and further tissue necrosis. This situation requires immediate intervention because it shows that the injury has progressed beyond superficial layers of skin and involves deeper tissues.

Addressing full thickness loss swiftly can help manage the wound more effectively, reduce the risk of infection, and promote optimal healing. It is crucial to halt the progression of the ulcer and ensure that appropriate treatment, such as debridement or specialized wound care, is initiated to protect the underlying structures and support healing.

In contrast, intact skin with redness, partial thickness loss, and skin discoloration without loss do indicate concerns, but they do not reflect the same level of urgency. Intact skin with redness may suggest the beginning of a pressure ulcer, while partial thickness loss indicates damage but does not involve deeper tissues. Skin discoloration without loss may be a warning sign, but unless accompanied by loss of tissue, it does not necessitate immediate intervention like a full thickness ulcer does.