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      • Deep tissue injuries may be recognized as areas on the heel that are dark purple or reddish-purple in color, boggy or firm and warmer or cooler to touch than surrounding tissue.
      woundeducators.com/preventing-heel-pressure-ulcers/
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  2. Jun 30, 2015 · Deep tissue injury (DTI) pressure ulcers are defined as ‘purple or maroon localized area of discolored intact skin or blood‐filled blister due to damage of underlying soft tissue from pressure and/or shear’ 1.

    • Joyce M Black, Christopher T Brindle, Jeremy S Honaker
    • 10.1111/iwj.12471
    • 2016
    • Int Wound J. 2016 Aug; 13(4): 531-539.
  3. May 21, 2024 · Deep tissue injury (DTI) primarily arises from sustained pressure and shear forces that disrupt blood flow and oxygen supply to the deeper layers of tissue. Prolonged pressure, especially over bony prominences like the heels, sacrum, and hips, compresses blood vessels, leading to ischemia and tissue necrosis.

  4. Additionally, sometimes the skin over and around a DTI site is cooler than the surrounding skin and tissue. The usual assessment includes boggy, non-blanchable tissue that is deep purple in color (see Figure 1), may be painful, has a blistered top layer, and may present with a mirror image bilaterally.

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  5. Feb 7, 2014 · The NPIAP defines deep tissue injury as tissue that is painful, firm, mushy, warmer, or cooler to the touch compared with adjacent tissue. And 42% of all DTIs manifest on the heel. Looking at the big picture, it is easy to see how the presence of a boggy heel can indicate the development of a heel pressure injury.

  6. Most articles and discussions about the heel in the context of wounds simply classify the pathophysiologic and etiologic lesions as pressure ulcers (PrUs), and more recently, the clinical literature is focusing on the purple heel, that is, a sentinel of deep tissue injury (DTI).

  7. Deep tissue pressure injuries (DTPI) are persistent non-blanchable deep red, purple or maroon areas of intact skin, non-intact skin or blood-filled blisters caused by damage to the underlying soft tissues.

  8. Feb 16, 2015 · Whilst the vast majority of heel pressure ulcers (PUs) are superficial and involve the skin (stages I and II) or underlying fat (stage III), between 10% and 20% will involve deeper tissues, either muscle, tendon or bone (stage IV). These stage IV heel PUs represent a major health and economic burden and can be difficult to treat.