In caring for a client with a pressure injury, which findings should a nurse report to the provider?

Reporting an odor of the wound to the provider is critical because it can indicate the presence of infection or necrotic tissue. An unusual or foul smell coming from a pressure injury suggests that the healing process may be compromised, and there could be underlying issues that need immediate attention, such as bacterial colonization or invasion. This can help determine the necessity for further intervention, such as a new wound care regimen or systemic antibiotic therapy.

While skin color, current dressing status, and type of nutrition received are important elements of wound care and overall clinical assessment, they may not be as urgent as the presence of an odor. Changes in skin color can provide insights into perfusion and healing, the dressing status may inform about moisture and protection, and nutritional intake is essential for healing, but none of these findings signal an immediate risk that requires the provider’s attention as promptly as a concerning odor does.