Letters to the Editor

New Terminology from the National Pressure Ulcer Advisory Panel

 

Am Fam Physician. 2017 Jun 15;95(12):757.

Original Article: Common Questions About Pressure Ulcers

Issue Date: November 15, 2015

See additional reader comments at: http://www.aafp.org/afp/2015/1115/p888.html

to the editor: In April 2016, the National Pressure Ulcer Advisory Panel (NPUAP) announced terminology updates.1 A summary of the updates are as follows:

  • Skin damage that occurs as the result of pressure should be referred to as pressure injury rather than pressure ulcer, because skin damaged from pressure can be intact or ulcerated. This change in terminology also applies to the staging classification system.

  • The staging system for pressure injuries now uses Arabic numbers rather than Roman numerals.

  • Suspected deep-tissue injury has been renamed deep-tissue pressure injury.

Changes to the existing International Classification of Diseases, 10th Revision terminology are anticipated as a result of the updated NPUAP terminology. Additionally, the National Database of Nursing Quality Indicators will be incorporating the updated terminology in their quality-reporting documents. Visit the NPUAP website at http://www.npuap.org for more information about these changes.1

Author disclosure: No relevant financial affiliations.

REFERENCE

1. National Pressure Ulcer Advisory Panel. National Pressure Ulcer Advisory Panel (NPUAP) announces a change in terminology from pressure ulcer to pressure injury and updates the stages of pressure injury. https://www.npuap.org/national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury/. Accessed November 29, 2016.

editor's note: Table 1 and portions of the article have been updated to reflect these new classifications from the NPUAP.

 

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This series is coordinated by Kenny Lin, MD, MPH, Associate Deputy Editor for AFP Online.

 

 

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