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STAGE 4 WOUND ENVIRONMENT Clinical interpretation For a true Stage 4 pressure injury, the key question is not simply which dressing, but is this wound ready for conservative management alone? Exposed bone or tendon, foul odor, friable tissue, increasing pain, systemic inflammatory signs, or probe-to-bone findings should trigger urgent evaluation for deep infection and osteomyelitis

avoid direct heat on the beads or horsehair hem to prevent damage

ADD the fresh veggies (red peppers, tomatoes, radish slices, black olives, onions, and avocado)

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