#DEFINITION OF UNDERMINE SOMEONE SKIN#

Wound undermining occurs when significant erosion occurs underneath the outwardly visible wound margins resulting in more extensive damage beneath the skin surface. Undermining occurs most often in patient with pressure wounds or neuropathic ulcers. Tunneling generally occurs in one direction, whereas undermining may occur in one or more directions. Undermining generally includes a wider area of tissue than tunneling. What is the difference between tunneling and undermining? Once a wound gets infected, the infection can spread into the subcutaneous tissue. One of the most common causes is infection. There are several different causes of undermining wounds.

What causes undermining of the skin under the skin?īecause the undermining extends under the skin, the actual amount of damaged tissue is much bigger than it appears by just looking at the surface of the wound. What causes undermining of the subcutaneous tissue?Ĭauses of Undermining Wounds. Subcutaneous tissues, which include muscle and fat, are the tissues under the epidermis and dermis skin layers. Undermining wounds are wounds that extend in all directions into the subcutaneous tissue under the skin. This motto could also apply to undermining wounds, which are definitely not as they appear. Which is the correct definition of an undermining wound? Any dead (necrotic) tissue should be debrided. If infection is suspected to be the reason for tunneling, appropriate antimicrobial therapy should be instituted. Soft-tipped irrigation cannulas can be used to gently cleanse the tunnels and the wound itself. In order to promote healing, the wound must be kept clean.

What is the best practice to clean a tunneling wound? Once there is visible slough in the wound bed, the ulcer is at least a Stage III or greater. If any yellow tissue (slough) is noted in the wound bed, no matter how minute, the ulcer cannot be a Stage II. Then measure against the ruler, and document the measurement.Īn easy way to remember this: Stage II ulcers are pink, partial, and may be painful. Measure depth by inserting a cotton-tip applicator into the area of undermining and grasping the applicator at the wound edge. To measure undermining: Check for undermining at each “hour” of the clock.

Definition of undermine someone