Edsberg LE, Langemo D, Baharestani MM, Posthauer ME, Goldberg M, et al.
Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy an.... Date of publication 2014 Jul 1;volume 41(4):313-34.
1. J Wound Ostomy Continence Nurs. 2014 Jul-Aug;41(4):313-34. doi:
10.1097/WON.0000000000000050.
Unavoidable pressure injury: state of the science and consensus outcomes.
Edsberg LE(1), Langemo D, Baharestani MM, Posthauer ME, Goldberg M.
Author information:
(1)Laura E. Edsberg, PhD, Director, Center for Wound Healing Research, Natural &
Health Sciences Research Center, Associate Professor Natural Sciences Department,
Daemen College, Amherst, New York. Diane Langemo, PhD, RN, FAAN, Adjunct Faculty,
University of North Dakota College of Nursing, Grand Forks. Mona Mylene
Baharestani, PhD, APN, CWON, FACCWS, Associate Chief, Wound Care & Research
Programs, James H. Quillen Veterans Affairs Medical Center, Johnson City
(Mountain Home), Tennessee, and Clinical Associate Professor, Quillen College of
Medicine, Department of Surgery, Johnson City, Tennessee. Mary Ellen Posthauer,
BS, RDN, President, MEP Healthcare Dietary Services, Inc, Evansville, Indiana.
Margaret Goldberg, MSN, RN, CWOCN Wound Care Consultant, Delray Wound Treatment
Ctr, Delray Beach, Florida.
In the vast majority of cases, appropriate identification and mitigation of risk
factors can prevent or minimize pressure ulcer (PU) formation. However, some PUs
are unavoidable. Based on the importance of this topic and the lack of literature
focused on PU unavoidability, the National Pressure Ulcer Advisory Panel hosted a
multidisciplinary conference in 2014 to explore the issue of PU unavoidability
within an organ system framework, which considered the complexities of
nonmodifiable intrinsic and extrinsic risk factors. Prior to the conference, an
extensive literature review was conducted to analyze and summarize the state of
the science in the area of unavoidable PU development and items were developed.
An interactive process was used to gain consensus based on these items among
stakeholders of various organizations and audience members. Consensus was reached
when 80% agreement was obtained. The group reached consensus that unavoidable PUs
do occur. Consensus was also obtained in areas related to cardiopulmonary status,
hemodynamic stability, impact of head-of-bed elevation, septic shock, body edema,
burns, immobility, medical devices, spinal cord injury, terminal illness, and
nutrition.
DOI: 10.1097/WON.0000000000000050
PMID: 24901936 [Indexed for MEDLINE]
