Sibbald RG, Ayello EA, et al.
Advances in skin & wound care. Date of publication 2020 Mar 1;volume 33(3):137-145.
1. Adv Skin Wound Care. 2020 Mar;33(3):137-145. doi:
10.1097/01.ASW.0000653148.28858.50.
Terminal Ulcers, SCALE, Skin Failure, and Unavoidable Pressure Injuries: Results
of the 2019 Terminology Survey.
Sibbald RG, Ayello EA.
GENERAL PURPOSE: To present the results of the 2019 study of healthcare
professionals' consensus and opinions regarding terminology for terminal ulcers,
Skin Changes At Life's End, skin failure, and unavoidable pressure injuries to
improve clinical care and to foster research into current criteria for
unavoidable skin changes at the end of life.
TARGET AUDIENCE: This continuing education activity is intended for physicians,
physician assistants, NPs, and nurses with an interest in skin and wound care.
LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education
activity, the participant should be better able to:1. Explain the survey
methodology and identify the consensus statements.2. Synthesize the open-ended
questions and respondent comments and their implications for clinical care and
research.
ABSTRACT: This article reports the results of a global wound care community
survey on Kennedy terminal ulcers, Skin Changes At Life's End, Trombley-Brennan
terminal tissue injuries, skin failure, and unavoidable pressure injury
terminology. The survey consisted of 10 respondent-ranked statements to determine
their level of agreement. There were 505 respondents documented. Each statement
required 80% of respondents to agree (either "strongly agree" or "somewhat
agree") for the statement to reach consensus. Nine of the 10 statements reached
consensus. Comments from two additional open-ended questions were grouped by
theme. Conclusions and suggested recommendations for next steps are discussed.
This summary is designed to improve clinical care and foster research into
current criteria for unavoidable skin changes at the end of life.
plain-language-summary: This article reports the results of a global wound care
community survey on Kennedy terminal ulcers, Skin Changes At Life’s End,
Trombley-Brennan terminal tissue injuries, skin failure, and unavoidable pressure
injury terminology. The survey consisted of 10 respondent-ranked statements to
determine their level of agreement. There were 505 respondents documented. Each
statement required 80% of respondents to agree (either “strongly agree” or
“somewhat agree”) for the statement to reach consensus. Nine of the 10 statements
reached consensus. Comments from two additional open-ended questions were grouped
by theme. Conclusions and suggested recommendations for next steps are discussed.
This summary is designed to improve clinical care and foster research into
current criteria for unavoidable skin changes at the end of life.
DOI: 10.1097/01.ASW.0000653148.28858.50
PMID: 32058439 [Indexed for MEDLINE]
