NPUAP

Jeffrey M. Levine's picture

by Jeffrey Levine MD

Please join me Thursday, November 16 from 3:00-4:00pm EST for a free webinar presented by myself and Elizabeth A. Ayello, PhD, RN, ACNS-BC, CWOCN, ETN, MAPWCA, FAAN sponsored by the National Pressure Ulcer Advisory Panel (NPUAP), entitled, Unavoidable Pressure Injuries, Terminal Ulceration, and Skin Failure: Where Are We and Where Are We Going?

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Washington, D.C. – June 21, 2017 – The National Pressure Ulcer Advisory Panel (NPUAP) recently announced six new director to its board of directors. Scott Bolhack, Barbara Delmore, William Padula, Joyce Pittman, Ann Tescher and Tracy Yap were named to the board in 2017, joining the five additional standing directors. New directors serve a three-year term on the board.

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Jeffrey M. Levine's picture
medical community discussion

by Jeffrey M. Levine MD, AGSF, CWS-P

The phenomena of terminal skin injury and skin failure is fraught with challenges of terminology which is often confusing, and experts do not always agree on diagnostic criteria and classification.

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Mary Ellen Posthauer's picture
World Wide Pressure Injury Prevention Day

by Mary Ellen Posthauer RDN, CD, LD, FAND

The National Pressure Ulcer Advisory Panel (NPUAP) has designated November 17, 2016 as World Wide Pressure Injury Prevention Day and is urging states to join the effort and raise awareness about the need to prevent pressure injuries. As of October 1st, North Carolina, New Jersey, Nevada, and the District of Columbia have issued State Proclamations for Pressure Injury Prevention Awareness Day.

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Washington, DC – August 30, 2016 – The National Pressure Ulcer Advisory Panel (NPUAP) revised the NPUAP 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 the Centers for Medicare and Medicaid Services (CMS) has been in discussions with the NPUAP to incorporate the new terminology.

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Thomas Serena's picture
leadership in wound care

by Thomas E. Serena MD, FACS, FACHM, FAPWCA

This past May we celebrated the anniversary of John F. Kennedy's quixotic "moon shot" presentation to congress during which he laid out a plan to put a man on the moon by the end of the decade. To the world's surprise, his leadership and unwavering commitment to this dream succeeded and in the aftermath, created our modern space program.

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Margaret Heale's picture
advancing wound care nursing skills

by Margaret Heale, RN, MSc, CWOCN

I was not at the April National Pressure Ulcer Advisory Panel (NPUAP) meeting, but I do think some of critical commentary that has followed the announcement of the pressure injury staging system changes is flawed. Clearly designating the thickness of an injury to a defined stage makes sense and communicates a severity. All the NPUAP have done is clarify some detail that clinicians have had to manage previously, within a gray area. It is not the responsibility of the NPUAP, researchers or clinicians at the bedside to make up definitions to fit coding or legislators. It is important that researchers and bedside clinicians provide CMS and legislators with research demonstrating how and why pressure ulcers occur.

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Mary Ellen Posthauer's picture
pressure ulcer terminology

by Mary Ellen Posthauer RDN, CD, LD, FAND

The April National Pressure Ulcer Advisory Panel (NPUAP) consensus conference resulted in a terminology change from pressure ulcer to pressure injury, and also validated new terminology which more accurately describes pressure injury in intact and ulcerated skin. The previous staging system described both Stage 1 and Deep Tissue Injury as injured intact skin and the other stages described open ulcers. There has been confusion because the definitions for each of the stages referred to the injuries as "pressure ulcers". The term "suspected" was removed form the Deep Tissue Injury diagnostic label and Arabic numbers are now used instead of roman numerals.

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Laurie Swezey's picture
Wound Assessment Tools

by Laurie Swezey RN, BSN, CWOCN, CWS, FACCWS

There are many tools that can be used to assess wounds. It is important to be aware of these tools and what they measure. It is also important to become knowledgeable about the tool(s) used in your workplace.
by Laurie Swezey RN, BSN, CWOCN, CWS, FACCWS

There are many tools that can be used to assess wounds. It is important to be aware of these tools and what they measure. It is also important to become knowledgeable about the tool(s) used in your workplace.

PUSH Tool
The Pressure Ulcer Scale for Healing (PUSH) tool is a fast and accurate tool used to measure the status of pressure wounds over time. The tool was designed by the National Pressure Ulcer Advisory Panel (NPUAP) and has been validated many times over. The NPUAP recommends that the tool be used on a regular basis, at least weekly or whenever the patient or wound status changes. The PUSH tool measures three parameters that are considered most indicative of healing:

Mary Ellen Posthauer's picture
Pressure ulcer prevention

by Mary Ellen Posthauer RDN, CD, LD, FAND

Despite all of the advances in risk assessment, prevention and treatment guidelines, support surfaces, nutritional products and vigorous educational efforts, pressure ulcers continue to be a major health care problem worldwide. The National Pressure Ulcer Advisory Panel (NPUAP) once again accepted the challenge to increase awareness by participating in the World Wide Pressure Ulcer Prevention Day on November 19, 2015

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