Results of the 2022 Wound Survey on Skin Failure/End-of-Life Terminology and Pressure Injuries

Abstract

OBJECTIVETo summarize the major findings of a survey first conducted in 2019 and repeated in 2022 and review new concepts (angiosomes and pressure injuries) and challenges due to the COVID-19 pandemic.METHODSThis survey captures participants’ ranking of agreement or disagreement with 10 statements on Kennedy terminal ulcers, Skin Changes At Life’s End, Trombley-Brennan terminal tissue injuries, skin failure, and unavoidable/avoidable pressure injuries. The survey was hosted online by SurveyMonkey from February 2022 until June 2022. All interested persons were able to participate in this voluntary, anonymous survey.RESULTSOverall, 145 respondents participated. The same nine statements achieved at least 80% agreement (somewhat agree or strongly agree) as in the previous survey. The one statement that did not reach consensus also failed to reach consensus in the 2019 survey: “The concept of skin failure does not include pressure injuries.”CONCLUSIONSIt is the authors’ hope that this will stimulate more research into terminology and etiology of skin changes in persons at end of life and encourage more research regarding terminology and criteria to define which skin lesions are unavoidable or avoidable.

A survey of skin failure perceptions amongst pressure injury management staff in China: A cross‐sectional study

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“…Therefore, understanding the perceptions of PI management staff regarding SF is critical. Whilst Dr. Sibbald and Ayello 11 in Canada conducted a survey of SF‐related terminology by experts from various fields, there have been no similar SF‐related survey studies in China. Based on the Knowledge‐Attitude‐Practice theory, this study aims to comprehensively assess the cognitive status of SF and the influencing factors on PI management staff in China, providing a reference for the targeted development of nursing training programmes for SF.…”

Braden Scales for Pressure Injury Risk Assessment

“…Not all PrIs may be preventable, so clinicians are encouraged to consult the literature on the issue of avoidable and unavoidable PrIs. [42][43][44][45] •…”

“…When a patient is determined to be at risk, implement care plans and prevention strategies to avoid a PrI from occurring if possible, or prevent a PrI from deteriorating. Not all PrIs may be preventable, so clinicians are encouraged to consult the literature on the issue of avoidable and unavoidable PrIs 42–45 …”

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