A Black patient who is immobile presents with a decubitus ulcer. Which of the following is incorrect about pressure ulcer staging?

Choice A reason: This is correct. When slough or eschar obscures the wound bed, the ulcer is classified as unstageable until the base is visible. Accurate staging requires assessment of tissue depth and type. Choice B reason: This is correct. Pressure ulcers do not progress through stages as they heal. For example, a stage 4 ulcer does not become a stage 3 ulcer during healing. Instead, it is described as a “healing stage 4 ulcer.” Choice C reason: This is correct. In individuals with dark skin, early signs of pressure injury may present as persistent discoloration rather than visible redness. Recognizing these variations is essential for early detection. Choice D reason: This is incorrect. The presence of a pressure ulcer may reflect inadequate care, poor mobility support, or lack of access to services. While not always indicative of neglect, it warrants evaluation of the patient’s support system and care environment.