Which statement about Stable Eschar on the heel is accurate?

Which statement about Stable Eschar on the heel is accurate?

• A. Partial Thickness Loss With Exposed Dermis Visible.
• B. Dry, Intact Eschar On Heel Should Not Be Removed.
• C. Intact Skin With Non-Blanchable Redness Localized Area.
• D. Full Thickness Loss With Visible Subcutaneous Fat.

Answer: (B)

When a heel has stable eschar, the tissue is dry, intact, and adherent without surrounding skin breakdown. In this situation, removing the eschar can do more harm than good: it can cause bleeding, pain, and increase the risk of infection, and it may destabilize the wound bed without signaling true debridement needs. Because the eschar is stable and non-inflammatory, it’s considered appropriate to leave it in place and focus on pressure redistribution, skin protection, moisture management, and monitoring for changes. The other descriptions describe tissue loss or redness that would indicate different wound stages: a shallow loss with exposed dermis points to a deeper skin loss (partial-thickness) rather than stable eschar; a non-blanchable red area on intact skin indicates a Stage I injury; full-thickness loss with visible subcutaneous fat indicates a more advanced wound (Stage III).

When a heel has stable eschar, the tissue is dry, intact, and adherent without surrounding skin breakdown. In this situation, removing the eschar can do more harm than good: it can cause bleeding, pain, and increase the risk of infection, and it may destabilize the wound bed without signaling true debridement needs. Because the eschar is stable and non-inflammatory, it’s considered appropriate to leave it in place and focus on pressure redistribution, skin protection, moisture management, and monitoring for changes.

The other descriptions describe tissue loss or redness that would indicate different wound stages: a shallow loss with exposed dermis points to a deeper skin loss (partial-thickness) rather than stable eschar; a non-blanchable red area on intact skin indicates a Stage I injury; full-thickness loss with visible subcutaneous fat indicates a more advanced wound (Stage III).