An 84-year-old man admitted three days ago with a fractured neck of femur is found to have an area of skin change over the sacrum during hygiene cares. The skin is intact but a deep purple-maroon colour that does not blanch with fingertip pressure; the area feels boggy compared with surrounding tissue and he winces when it is touched. He had been on the floor at home for several hours before admission. Which one of the following best classifies this pressure injury?

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