Effective wound management is dependent in part on identification and correction of causative factors. Wounds located on the posterior trunk and thighs can be caused by pressure/shear, moisture, friction, or a combination of these factors. Frequently these wounds are labeled as pressure injuries even though the primary etiology maybe another factor. The National Pressure Ulcer Advisory Panel no longer includes friction in the etiology of pressure ulcers. The concept of friction skin/tissue injury as a diagnosis in and of itself is relatively unexplored and undescribed. The pathophysiology of chronic wounds is complex and multifactorial. It is critical for clinicians to accurately identify the etiology of any wound in order to diagnose and treat the wound successfully. The old paradigm of “pressure sores” is being challenged to consider other primary etiologies of chronic wounds on the posterior buttocks and thighs.
MSN, APRN-NP, CWOCN-AP,
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