Which type of dressing is recommended for a stage I pressure ulcer?

• A. Gauze sponges
• B. Hydrogel dressings
• C. Hydrocolloid dressings
• D. Transparent film dressings

Answer: (D)

For a stage I pressure ulcer, the dressing choice should protect intact skin, minimize maceration, and allow easy inspection of the area since there is non-blanchable redness without tissue loss and little to no drainage. A transparent film dressing fits these needs because it is thin, flexible, and adherent, forming a barrier that helps protect the skin from friction and external contaminants while preserving moisture and, importantly, letting you see the wound without removing the dressing. It does not absorb fluid, which helps prevent maceration when drainage is minimal or absent, and it stays in place long enough to reduce disruption of the healing surface.

Gauze sponges can dry or stick to the skin and often require more frequent changes, which is not ideal for a stable, minimally draining stage I wound. Hydrogels hydrate dry wounds but may be more appropriate when there is a specific moisture deficit and often need a secondary dressing. Hydrocolloid dressings are more occlusive and can trap moisture, potentially hiding the wound and increasing maceration risk if drainage is present.