The American College of Clinical Wound Specialists (ACCWS) Rebuttal to the Recent NPUAP Pressure Ulcer Definition (July 2016)

摘要

As healthcare professionals dedicated to the care of patients with wounds, including those patients with wounds secondary to pressure, it is with the utmost concern that we bring the new classification proposed by the National Pressure Ulcer Advisory Panel (NPUAP) to your attention. The field has only recently been unified with the current terminology and now the new classification proposed creates confusion and frankly, is unnecessary and incorrect. Wound care providers understand that pressure wounds are due to ischemic injury as a result of a myriad of issues, including but not limited to mechanical pressure, shear, friction positioning/re-positioning, the prodromal issues surrounding end-of-life, death and the dying process and/or skin failure. Furthermore, the proposed "pressure injury" terminology is not listed as a diagnosis in the current/new ICD 10 coding and does not capture the breadth that the current acceptable term, pressure ulcer, does.