Challenges in Classification of Gluteal Cleft and Buttocks Wounds

Abstract

The damaging effects of moisture, pressure, friction, and shear on human tissue are well-known among wound care experts. Nevertheless, accurate classification of these lesions is frequently challenging, even for experienced wound clinicians. The authors gathered clinical illustrations of gluteal cleft wounds and conducted a literature search as a basis for presentation to conference attendees, with the goal of gaining consensus regarding guidelines for accurate classification of these wounds. The aim of this article was to summarize results of the consensus sessions that occurred at the Wound Ostomy Continence Nurses' Society National conferences in 2011 and 2012, and to highlight areas where consensus has been achieved as well as areas in which consensus has not yet been reached.

Measuring the quality of pressure ulcer prevention: A systematic mapping review of quality indicators

“…PU diagnosis and classification in routine care is prone to error, 36,37 and the internal and external validity of obtained estimates depend on the measurement methods (eg routine data collection vs audits, data extraction from medical records vs systematic skin inspection, including vs excluding certain…”

“…However, measuring and reporting accurate incidence figures is challenging. PU diagnosis and classification in routine care is prone to error, and the internal and external validity of obtained estimates depend on the measurement methods (eg routine data collection vs audits, data extraction from medical records vs systematic skin inspection, including vs excluding certain PU categories) . In routine data collection and monitoring systems, underreporting of PU incidence is very common across many health care settings .…”

Incontinence-Associated Dermatitis: An Insidious and Painful Condition

“…IAD can be difficult to diagnose and differentiate from other skin conditions and is often mistaken for a pressure ulcer [3,4]. However, as patients with incontinence are often at increased risk of pressure ulcers, it can be difficult to distinguish between the two [29,30]. Pressure ulcers are usually located over bony prominences, or where soft tissues experience pressure from a hard device such as a urinary catheter or a nasal cannula.…”

The VCU Pressure Ulcer Summit

“…Designing a successful program is further challenged by fl aws inherent in the application of national benchmarks in the absence of standardized data collection and reporting. [19][20][21] These challenges negatively impact both patients and healthcare organizations. The primary aim of this summit was to begin the process of ensuring quality healthcare delivery in pressure ulcer minimization across different care settings, using the power of the Magnet model to unify and deliver a framework for change.…”