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It is important that providers of pressure injury treatment take note of these recent changes and incorporate the new terminology and staging system into their diagnoses and treatment moving forward.

Specifically, we would advise that our clients familiarize themselves with the updated stages and diagnose all new and pre-existing wounds using the Arabic number classification.

The National Pressure Ulcer Advisory Panel (NPUAP) serves as the authoritative voice for improved patient outcomes in pressure injury prevention and treatment through public policy, education and research.

The NPUAP has developed NEW illustrations of the stages of pressure injuries.

"The NPUAP Staging System was evaluated and revised to reflect current scientific and clinical understanding of the etiology of pressure injuries, as well as to clarify and make the system more accurate and easier to use," according to a special article by Laura E.

Edsberg, Ph D, of the Center for Wound Healing Research at Daemen College, Amherst, N. Posted today, the article is freely accessible on the .

The pressure injury staging system serves as an indicator of the extent of tissue damage to a patient’s wounds.

Task force members included Margaret Goldberg, MSN, RN, CWOCN from Delray Wound Center, Florida, Laurie Mc Nichol, 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.There is no cost to use these illustrations; however donations to support the work of NPUAP are graciously accepted.For profit uses of the drawings are subject to a charge, please contact Jen Bank for more information.to include modified definitions of certain terms and to provide a clarifying staging system to better address the different types of skin wounds commonly seen by medical professionals.The Panel elected to make these changes to avoid future confusion regarding the distinction between intact and ulcerated skin.

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