Conclusions and Recommendations
Pressure ulcer grading is a useful tool for defining the severity of pressure ulcers. However, it is obvious that education is essential in order to ensure that grades are correctly identified and that incontinence lesions are not mistaken for pressure ulcers. The EPUAP provides access to a very useful educational program via its website (www.epuap.org.uk). The PUCLAS program was developed at the University of Ghent, Belgium. It provides both educational material and a self-assessment quiz. It is currently available in nine languages—English, Dutch, Finnish, French, German, Italian, Portuguese, Spanish, and Swedish—and may be freely used for personal or educational purposes. This is a great opportunity for individuals to improve their own assessment skills. Wide use of such educational tools could substantially improve the accuracy of pressure ulcer grading in the clinical area.
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References
Shea JD. Pressure sores, classification and management. Clin Orthop 1975; 112:89–100.
Reid J, Morison M. Classification of pressure sore severity. Nurs Times 1994; 90(20):46–50.
Hitch S. NHS Executive Nursing Directorate-Strategy for major clinical guidelines-prevention and management of pressure sores, a literature review. J Tissue Viability 1995; 5(1):3–24.
Haalboom JRE, van Everdingen JJE, Cullum N. Incidence, prevalence and classification. In: Parish LC, Witkowski JA, Crissey JT (eds) The decubitus ulcer in clinical practice. London: Springer; 1997.
Agency for Health Care Policy and Research. Pressure ulcers in adults: prediction and prevention. Rockville, MD: AHCPR; 1992.
EPUAP. Guidelines on the treatment of pressure ulcers. EPUAP Review 1999; 2:31–33.
Healey F. The reliability and utility of pressure sore grading scales. J Tissue Viability 1995; 5(4):111–114.
Torrance C. Pressure sores: aetiology, treatment and prevention. Beckenham: Croom Helm; 1983.
David J, Chapman RG, Chapman EJ. An investigation of the current methods used in nursing for the care of patients with established pressure sores. Harrow: Nursing Practice Research Unit; 1983.
Russell L, Reynolds T. How accurate are pressure ulcer grades? An image-based survey of nurse performance. J Tissue Viability 2001; 11(2):67–75.
Sharp A. Pressure ulcer grading tools: how reliable are they? J Wound Care 2004; 13(2):75–77.
Defloor T, Schoonhoven L. Inter-rater reliability of the EPUAP pressure ulcer classification system using photographs. J Clin Nurs 2004; 13(8):952–959.
Russell L. Pressure ulcer classification: defining early skin damage. Br J Nurs 2002; (Suppl) 11(16):33–41.
Versluysen M. Pressure sores: causes and prevention. Nursing 1986; 5(3):216–218.
Yarkony GM, Kirk PM, Carlsson C, et al. Classification of pressure ulcers. Arch Dermatol 1990; 126(9):1218–1219.
Dinsdale SM. Decubitus ulcers: Role of pressure and friction in causation. Arch Phys Med Rehabil 1974; 62:492–498.
Lyder CH. Conceptualization of the stage 1 pressure ulcer. J ET Nursing 1991; 18(5):162–165.
Meehan M. National pressure ulcer prevalence survey. Adv Wound Care 1994; 7(3):27–38.
Young T. Classification of pressure sores: 1. Br J Nurs 1996; 5(7):438–446.
NPUAP. Stage I assessment in darkly pigmented skin. NPUAP, 1998 (http://www.npuap.ord/positn4.htm).
Maklebust J. Policy implications of using reverse staging to monitor pressure ulcer status. Adv Wound Care 1997; 10(5):32–35.
Xakellis G, Frantz R. Pressure ulcer healing: what is it? What influences it? How is it measured? Adv Wound Care 1997; 10(5):20–26.
National Pressure Ulcer Advisory Panel. The facts about reverse staging in 2000. The NPUAP Position Statement, 2000 (www.npuap.org/positn5.htm).
Dealey C. Care of Wounds 3rd ed. Oxford: Blackwell Publishing; 2005.
Defloor T. Drukreductie en wisselhouding in de preventie van decubitus. [Pressure reduction and turning in the prevention of pressure ulcers]. PhD thesis, Ghent University, 2000.
Schnelle JF, Adamson GM, Cruise PA, et al. Skin disorders and moisture in incontinent nursing home residents: intervention implications. J Am Geriatr Soc 1997; 45(10):1182–1188.
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Dealey, C., Lindholm, C. (2006). Pressure Ulcer Classification. In: Romanelli, M., Clark, M., Cherry, G., Colin, D., Defloor, T. (eds) Science and Practice of Pressure Ulcer Management. Springer, London. https://doi.org/10.1007/1-84628-134-2_5
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