Recognition and correct classification of pressure ulcers: a position paper

Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete
J KottnerJ Dissemond

Abstract

Pressure ulcers comprise serious skin and tissue damage. The correct diagnosis and classification into different categories is often difficult in daily practice. What procedure can be recommended to correctly diagnose and classify pressure ulcers in practice? The society Initiative Chronische Wunden (ICW) e. V. established a group of experts who developed practical recommendations for the diagnosis and classification of pressure ulcers based on the current literature and their own expertise. Pressure ulcers should only be diagnosed if skin and/or tissue damage is most likely due to prolonged pressure or pressure associated with shear forces. A complete anamnesis must be performed to detect periods of previous prolonged immobility. Pressure ulcers are usually located at typical predilection sites. For category I and "suspected deep tissue damage" the tissue damage occurs under (initially) intact skin. However, the diagnosis is uncertain and the classification should be made later. The category II pressure ulcer is usually an exclusion diagnosis. The categories III and IV are pressure ulcers in the proper sense. As long as the distinction between category III and IV is not possible, the lower category should be coded. Currently, ...Continue Reading

References

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May 3, 2007·Advances in Skin & Wound Care·Joyce BlackUNKNOWN National Pressure Ulcer Advisory Panel
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Feb 17, 2015·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Gabor DobosJan Kottner
Jul 1, 2015·International Wound Journal·Joyce M BlackJeremy S Honaker
Jan 16, 2016·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·J DissemondK Kröger
Mar 10, 2017·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·J DissemondK Kröger
Jan 13, 2018·Das Gesundheitswesen·Tsenka Tomova-SimitchievaJan Kottner

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Citations

Sep 21, 2019·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·J KottnerJ Dissemond
May 18, 2020·Journal of Tissue Viability·Jan KottnerEmily Haesler
May 5, 2021·Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG·Joachim DissemondJan Kottner

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