Brienza D, Antokal S, Herbe L, Logan S, Maguire J, Van Ranst J, Siddiqui A, et al.
Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy an.... Date of publication 2015 Jan 1;volume 42(1):62-4.
1. J Wound Ostomy Continence Nurs. 2015 Jan-Feb;42(1):62-4. doi:
10.1097/WON.0000000000000102.
Friction-induced skin injuries-are they pressure ulcers? An updated NPUAP white
paper.
Brienza D(1), Antokal S, Herbe L, Logan S, Maguire J, Van Ranst J, Siddiqui A.
Author information:
(1)David Brienza, PhD, University of Pittsburgh, Pittsburgh, Pennsylvania. Steven
Antokal RN, BSN, CWCN, CCCN, DAPWCA, Director of Enterostomal Therapy,
HCR-Manorcare. Laura Herbe, Clinical Consultant at Coloplast, Akron, Ohio. Susan
Logan RN, BSN, CWS, FACCWS, National Wound Clinical Content Expert, Kindred
Healthcare. Jeanine Maguire MPT, CWS, Sr. Director, Skin Integrity & Wound
Management, Genesis HealthCare. Jennifer Van Ranst, MBA, US Region Marketing
Manager, 3M. Aamir Siddiqui, MD, Division Head Plastic Surgery, Henry Ford
Hospital, Detroit, Michigan.
Friction injuries are often misdiagnosed as pressure ulcers. The reason for the
misdiagnosis may be a misinterpretation of classic pressure ulcer literature that
reported friction increased the susceptibility of the skin to pressure damage.
This analysis assesses the classic literature that led to the inclusion of
friction as a causative factor in the development of pressure ulcers in light of
more recent research on the effects of shear. The analysis in this article
suggests that friction can contribute to pressure ulcers by creating shear strain
in deeper tissues, but friction does not appear to contribute to pressure ulcers
in the superficial layers of the skin. Injuries to the superficial layers of the
skin caused by friction are not pressure ulcers and should not be classified or
treated as such.
DOI: 10.1097/WON.0000000000000102
PMID: 25549310 [Indexed for MEDLINE]
