25 years of pressure ulcers and Advances in Skin & Wound Care.

摘要

Discussion over terminology remains: bedsore, pressure ulcer (PrU), or pressure sore? Is the name pressure sore even accurate for the current nomenclature? There is the extreme of torsion stress to downplay the poor connotation of a skin defect. With the pathophysiology of the PrU far from clear, the name is only for reference.The etiology must include the role of moisture and friction as paramount for superficial ulcers often classified as Stage I or II. These ulcers seldom transition into Stage HI or IV ulcers with an etiology more related to pressure and shear as explored in "Pressure Ulcer Staging Revisited: Superficial Skin Changes and Deep Pressure Ulcer Framework/' December 2011 issue of Advances in Skin & Wound Care. Investigating the nomenclature even further, a so-called Stage I PrU is an area of fixed erythema.The skin can only react in so many ways, and the etiology of this type of skin change is enormous. A lack of sensitivity and specificity exists when PrU prevalence and incidence studies include Stage I lesions that can represent anything dermatolog-ical from a suspected deep tissue injury (see "Deep. Tissue Injury: 25 Years of Learning," page 59) to the nonblanchable erythema of pressure-related damage to a fixed drug reaction, urticarial vasculitis, or a plethora of other dermatological diagnoses.