News

The NPUAP serves as a resource to health care professionals, government, the public, and health care agencies.  The three mission committees of the NPUAP (Public Policy, Education, and Research) are active in a variety of endeavors including webinars, creation of a reference database, and a number of public policy initiatives.

Page 1 of 712345...Last »

JAN 2 DEADLINE TO SUBMIT YOUR ABSTRACT – NPUAP Biennial Conference!

The National Pressure Ulcer Advisory Panel (NPUAP) invites you to submit an abstract for a poster presentation at our 2017 Biennial Conference, Pressure Injury: Advancing the Vision, scheduled for March 10-11, 2017 in New Orleans, LA.

The deadline to submit abstracts is Monday, January 2, 2017. Applicants will be notified of the status of their abstract’s acceptance by January 17, 2017.

Please click on the following link to learn more and to submit your abstract: https://www.surveymonkey.com/r/2017BiennialAbstracts

Please save the date:
NPUAP’s 2017 Biennial Conference
Pressure Injury: Advancing the Vision
Friday-Saturday, March 10-11, 2017
New Orleans, LA

To find out more about the Biennial Conference, please visit our website: http://www.npuap.org/events/2017-npuap-biennial-conference/

State Proclamations for Pressure Injury Awareness Day!

The NPUAP has been reaching out to each state requesting they declare the 3rd Thursday of every November as Pressure Injury Awareness Day. To date the following states have issued proclamations: Arizona, Delaware, Illinois, Indiana, Georgia, Michigan, Minnesota, Nevada, New Jersey, North Carolina, Utah, Virginia, Washington, DC and Wisconsin.

The various state proclamations can be found below:

 

 

Governmental Agencies and Professional Organizations Support NPUAP’s Pressure Injury Staging System

FOR IMMEDIATE RELEASE
August 30, 2016

Governmental Agencies and Professional Organizations Support NPUAP’s Pressure Injury Staging System

Washington, DC – The NPUAP revised the Pressure Injury Staging System following a consensus conference in April. The response to the changes has been positive. To date, The Joint Commission (TJC) has adopted the new terminology and CMS has been in discussions with the NPUAP to incorporate the new terminology. The rollout of the changes will be controlled by these agencies. The National Database of Nursing Quality Indicators (NDNQI) is also changing their materials to use the new terminology with changes to be in place by 2017. Changes to Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) and Logical Observation Identifiers Names and Codes (LOINC) are being explored. NPUAP is also working to introduce the changes into the ICD-11 payment codes.

In addition, the Wound Ostomy Continence Nurses (WOCN) Society, the Canadian Association of Enterostomal Therapists (CAET), the Pan Pacific Pressure Injury Alliance (PPPIA) of Australia, the Hong Kong Enterostomal Nurses Association, the New Zealand Wound Care Society, the Wound Healing Society of Singapore, and the Academy of Nutrition and Dietetics have publically endorsed the changes.

NPUAP recognizes that making changes in literature and electronic medical records is time consuming and costly. Because the changes to the 6 stages of pressure injury were changes only to title and wording – what was a stage II is still a stage 2 and the treatment has not changed – the changes within local facilities need not be made in a hurried manner. The pressure injury terminology changes can be made when routine updates of the policies, procedures and EMR documentation are done within institutions and organizations..

The National Pressure Ulcer Advisory Panel is a multidisciplinary group of experts in pressure injury. The NPUAP serves as the authoritative voice for improved patient outcomes in pressure injury prevention and treatment through public policy, education and research. Contact NPUAP at npuap@npuap.org.

Clinician Scholarship Available to Attend the NPUAP S3I Meetings: Deadline Oct 1

The NPUAP Support Surface Standards Initiative (S3I) is pleased to offer a Clinical Scholarship to attend the S3I research meeting and provide a clinical perspective.

Please CLICK HERE for the Clinical Scholarship application. For more information about the Support Surface Standards Initiative and the NPUAP please visit: http://www.npuap.org/resources/support-surface-standards/support-surfaces-standards-initiative/.

The scholarship submission deadline is October 1, 2016.

WOCN Society and Academy of Nutrition and Dietetics Support New Staging System and Terminology

Please click HERE to view a letter of support regarding the new NPUAP staging system and terminology from WOCN Society’s President, Carolyn Watts, MSN, RN, CWOCN.

Please click HERE to view a letter of support of the new NPUAP staging system and terminology from the Academy of Nutrition and Dietetics’ President, Lucille Beseler, MS, RDN, LDN, CDE, FAND.

New Pressure Injury Staging Illustrations Now Available

The NPUAP is pleased to announce that the new pressure injury staging illustrations are now available!

Please visit the following website to download the images: http://www.npuap.org/resources/educational-and-clinical-resources/pressure-injury-staging-illustrations/

National Pressure Ulcer Advisory Panel (NPUAP) announces a change in terminology from pressure ulcer to pressure injury and updates the stages of pressure injury

FOR IMMEDIATE RELEASE
April 13, 2016

Washington, DC – The term “pressure injury” replaces “pressure ulcer” in the National Pressure Ulcer Advisory Panel Pressure Injury Staging Systemaccording to the NPUAP. The change in terminology more accurately describes pressure injuries to both intact and ulcerated skin. In the previous staging system Stage 1 and Deep Tissue Injury described injured intact skin, while the other stages described open ulcers. This led to confusion because the definitions for each of the stages referred to the injuries as “pressure ulcers”.

In addition to the change in terminology, Arabic numbers are now used in the names of the stages instead of Roman numerals.  The term “suspected” has been removed from the Deep Tissue Injury diagnostic label. Additional pressure injury definitions agreed upon at the meeting included Medical Device Related Pressure Injury and Mucosal Membrane Pressure Injury.

The updated staging definitions were presented at a meeting of over 400 professionals held in Chicago on April 8-9, 2016.   Using a consensus format, Dr. Mikel Gray from the University of Virginia adeptly guided the Staging Task Force and meeting participants to consensus on the updated definitions through an interactive discussion and voting process.  During the meeting, the participants also validated the new terminology using photographs.

Dr. Laura Edsberg from Daemen College in Buffalo, NY and Dr. Joyce Black from the University of Nebraska Medical Center in Omaha served as co-chairs of the Staging Task Force appointed by the NPUAP Board of Directors. Task force members included Margaret Goldberg, MSN, RN, CWOCN from Delray Wound Center, Florida, Laurie McNichol, MSN, RN, CWOCN, CWON-AP, from Cone Health in Greensboro, NC, Lynn Moore, RDN, from Nutrition Systems, Mississippi and Mary Sieggreen, MSN, CNS, NP, CVN, from Detroit Medical Center.

Pressure injuries are staged to indicate the extent of tissue damage. The stages were revised based on questions received by NPUAP from clinicians attempting to diagnose and identify the stage of pressure injuries.  Schematic artwork for each of the stages of pressure injury was also revised and will be available for use at no cost through the NPUAP website in approximately 12-24 hours (http://www.npuap.org/resources/educational-and-clinical-resources/pressure-injury-staging-illustrations/).

The updated staging system includes the following definitions:

Pressure Injury:
A pressure injury is localized damage to the skin and/or underlying soft tissue usually over a bony prominence or related to a medical or other device. The injury can present as intact skin or an open ulcer and may be painful. The injury occurs as a result of intense and/or prolonged pressure or pressure in combination with shear. The tolerance of soft tissue for pressure and shear may also be affected by microclimate, nutrition, perfusion, co-morbidities and condition of the soft tissue.

Stage 1 Pressure Injury: Non-blanchable erythema of intact skin
Intact skin with a localized area of non-blanchable erythema, which may appear differently in darkly pigmented skin. Presence of blanchable erythema or changes in sensation, temperature, or firmness may precede visual changes. Color changes do not include purple or maroon discoloration; these may indicate deep tissue pressure injury.

Stage 2 Pressure Injury: Partial-thickness skin loss with exposed dermis
Partial-thickness loss of skin with exposed dermis. The wound bed is viable, pink or red, moist, and may also present as an intact or ruptured serum-filled blister. Adipose (fat) is not visible and deeper tissues are not visible. Granulation tissue, slough and eschar are not present. These injuries commonly result from adverse microclimate and shear in the skin over the pelvis and shear in the heel.  This stage should not be used to describe moisture associated skin damage (MASD) including incontinence associated dermatitis (IAD), intertriginous dermatitis (ITD), medical adhesive related skin injury (MARSI), or traumatic wounds (skin tears, burns, abrasions).

Stage 3 Pressure Injury: Full-thickness skin loss
Full-thickness loss of skin, in which adipose (fat) is visible in the ulcer and granulation tissue and epibole (rolled wound edges) are often present. Slough and/or eschar may be visible. The depth of tissue damage varies by anatomical location; areas of significant adiposity can develop deep wounds.  Undermining and tunneling may occur. Fascia, muscle, tendon, ligament, cartilage and/or bone are not exposed. If slough or eschar obscures the extent of tissue loss this is an Unstageable Pressure Injury.

Stage 4 Pressure Injury: Full-thickness skin and tissue loss
Full-thickness skin and tissue loss with exposed or directly palpable fascia, muscle, tendon, ligament, cartilage or bone in the ulcer. Slough and/or eschar may be visible. Epibole (rolled edges), undermining and/or tunneling often occur. Depth varies by anatomical location. If slough or eschar obscures the extent of tissue loss this is an Unstageable Pressure Injury.

Unstageable Pressure Injury: Obscured full-thickness skin and tissue loss
Full-thickness skin and tissue loss in which the extent of tissue damage within the ulcer cannot be confirmed because it is obscured by slough or eschar.  If slough or eschar is removed, a Stage 3 or Stage 4 pressure injury will be revealed. Stable eschar (i.e. dry, adherent, intact without erythema or fluctuance) on the heel or ischemic limb should not be softened or removed.

Deep Tissue Pressure Injury: Persistent non-blanchable deep red, maroon or purple discoloration
Intact or non-intact skin with localized area of persistent non-blanchable deep red, maroon, purple discoloration or epidermal separation revealing a dark wound bed or blood filled blister. Pain and temperature change often precede skin color changes. Discoloration may appear differently in darkly pigmented skin.  This injury results from intense and/or prolonged pressure and shear forces at the bone-muscle interface.  The wound may evolve rapidly to reveal the actual extent of tissue injury, or may resolve without tissue loss. If necrotic tissue, subcutaneous tissue, granulation tissue, fascia, muscle or other underlying structures are visible, this indicates a full thickness pressure injury (Unstageable, Stage 3 or Stage 4). Do not use DTPI to describe vascular, traumatic, neuropathic, or dermatologic conditions.

Additional pressure injury definitions.

Medical Device Related Pressure Injury:
This describes an etiology.
Medical device related pressure injuries result from the use of devices designed and applied for diagnostic or therapeutic purposes. The resultant pressure injury generally conforms to the pattern or shape of the device. The injury should be staged using the staging system.

Mucosal Membrane Pressure Injury:  Mucosal membrane pressure injury is found on mucous membranes with a history of a medical device in use at the location of the injury. Due to the anatomy of the tissue these injuries cannot be staged.

More information will be forthcoming on teaching points for the new stages and the rationale for some of the changes in the staging system.

The National Pressure Ulcer Advisory Panel is a multidisciplinary group of experts in pressure injury. The NPUAP serves as the authoritative voice for improved patient outcomes in pressure injury prevention and treatment through public policy, education and research.  Contact NPUAP at npuap@npuap.org.

Congratulations to the NPUAP Research Mini-Grant Awardees!

NPUAP congratulates the awardees of the two 2015 Research Mini Grants:

Professor Lisa Kellogg-Tucker, Duke-NUS Graduate Medical School Singapore
Effect of Bacteria and Oxidative Stress on Pressure Ulcers

Yi-Ting Tzen, PhD, University of Illinois at Chicago
Perfusion Biomarkers for Ulcer Risk Assessment in SCI

The NPUAP Research Committee congratulates the Mini Grant recipients of 2015-16 and recognize the clinical significance of these research studies in providing quality care to individuals for the prevention and treatment of pressure ulcers.

 

 

World Wide Pressure Ulcer Prevention Day 2015

FOR IMMEDIATE RELEASE
September  18, 2015

Washington, DC – According to the Prevention and Treatment of Pressure Ulcers: Clinical Practice Guidelines; “Pressure Ulcers increase hospital costs significantly. In the US, pressure ulcer care is estimated to approach $11 billion (USD) annually, with a cost of between $500 (USD) and $70,000 (USD) per individual pressure ulcer.”1

The NPUAP defines a pressure ulcer as: “Localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear.”

“Pressure Ulcers are a frequently occurring health problem throughout the world.  They are painful, costly, and an often preventable complication for which many individuals are at risk,” as stated in the Prevention and Treatment of Pressure Ulcers: Clinical Practice Guidelines.

The National Pressure Ulcer Advisory Panel (NPUAP) is proud to announce that World Wide Pressure Ulcer Prevention Day is to be celebrated in 2015 on November 19th.  This date being the third Thursday in the month of November for 2015.  Moving forward each year the third Thursday of November will be designated for this public awareness.  The objective of World Wide Pressure Ulcer Prevention Day is to increase national awareness for pressure ulcer prevention and to educate the public on this topic.  NPUAP has developed an extensive media materials package appropriate for all healthcare settings and organizations, to download this free material visit: http://www.npuap.org/resources/educational-and-clinical-resources/2015-world-wide-pressure-ulcer-prevention-day/ 

Seeking to make this year’s event large and visible to the public, the NPUAP welcomes the support of organizations and corporate partners who wish to affiliate with this significant  activity.

On this date in November, in honor of World Wide Pressure Ulcer Prevention Day, the NPUAP is pleased to offer a free webinar, hosted by NPUAP Director Dr. Jeffrey Levine, titled “History of Pressure Ulcers & Wound Care: Past, Present and Future.”  For more information about this webinar and to register visit: www.npuap.org

The National Pressure Advisory Panel (NPUAP) is an independent, not-for-profit professional organization dedicated to the prevention and management of pressure ulcers.  Formed in 1987, the NPUAP Board of Directors is composed of leading experts from different health care disciplines—all of whom share a commitment to the prevention and management of pressure ulcers.  The NPUAP serves as a resource to health care professionals, government, the public, and health care agencies; and welcomes and encourages the participation of those interested in pressure ulcer issues through utilization of NPUAP educational materials, participation at national conferences, and support of efforts in public policy, education and research.

Find more information on NPUAP’s goals and activities on our website at www.npuap.org or contact us at npuap@npuap.org.

  1. National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline. Emily Haesler (Ed.) Cambridge Media; Osborne Park, Western Australia; 2014.

2015 NPUAP Biennial Conference Award Winners

2015 Biennial Award Winners

NPUAP Immediate Past President Margaret Goldberg (far left) and current President Mary Sieggreen (far right) pose with Drs. Diane Langemo, Janet Cuddigan and Joyce Black, recipients of the Kosiak Award, President’s Recognition Award and Thomas Stewart Founder’s Award during the 2015 NPUAP Biennial Conference in Orlando, FL.

2015 Kosiak Award Winner:

Diane Langemo, PhD, RN FAAN
University of North Dakota

2015 Thomas Stewart Founder’s Award Winner:

Joyce Black, PhD, RN, CWCN, FAAN
University of Nebraska Medical Center

President’s Recognition Award Winner:

Janet Cuddigan, PhD, RN, CWCN, FAAN
University of Nebraska Medical Center

For descriptions of these awards and the list of past award winners please visit our Awards page.

2015 Poster Award Winners

New Investigator Award: #41 Prevention and Staging of Pressure Ulcers: Clinical Nurses’ Knowledge in the Community Hospital Setting
Authors:
 Cindy Barefield, BSN, RN-BC, CWOCN, Kathy Arthurs MSN, RN-BC, RNC-OB, Lenora Chao PT, DPT, CWS

Contribution to the Field Award: #33 Pressure Mapping of Hospital Recliners and Select Seating Surfaces in Healthy Adults 
Authors: Stephanie Slayton, PT, DPT, CWS, Paula Morris, PT, DPT, Jason Brinkley, PhD

First Time Presenter: #39 The Efficacy of Goodmark Medical’s Solution Using the BAM Labs® Smart Bed Technology™ in the prevention of Pressure Ulcers
Authors: Jeff A. Beaty, D.H.Ed., Timothy Sauer, Ph.D.

New Investigator

Cindy Barefield (left) accepts the New Investigator Award from NPUAP Director Michelle Deppisch (right).

Contribution to Field

Stephanie Slayton (left) accepts the Contribution to the Field Award from NPUAP Director Michelle Deppisch (right).

First Time Presenter

Jen Alford (left) accepts the First Time Presenter Award on behalf of her colleagues from NPUAP Director Michelle Deppisch (right).