Worsening perineal breakdown

New denudement/erythema (or a perineal wound with increasing size/drainage/periwound erythema) in an incontinent resident — assessed/measured, barrier/containment intensified, offloading reinforced, provider notified, treatment adjusted, infection monitoring, care plan revised; reassess; supports Section M. (Skin.)

Fournier gangrene

Rapidly spreading perineal erythema with dusky skin, crepitus, pain out of proportion, and systemic signs — provider notified urgently, sepsis pathway, emergency transfer, representative notified, serial vitals; life-threatening surgical emergency; supports Section M/I. (Sepsis overlay.)

Perineal wound infection

Perineal wound with spreading erythema, purulence, and fever — provider notified, culture/antibiotics and wound-care adjustment ordered, systemic monitoring, care plan revised; reassess; supports Section M. (Skin/Sepsis.)

Wound staging, pressure-injury classification, and treatment detail route to the Skin reference; incontinence and catheter care route to the Continence reference; post-urologic/gynecologic genital care routes to the Male/Female Reproductive references; necrotizing infection/sepsis routes to the Sepsis overlay.