title: Classification of dependence-related skin lesions: a new proposal.
abstract: A new theoretical framework on the development of pressure ulcers and other dependence-related lesions requires continued in-depth analysis of their conceptual bases. This study reports the historical background, definitions, and production mechanisms of these lesions, describing the differential pathognomonic features of pressure and/or shear ulcers, moisture-associated skin damage, and lesions from rubbing or friction. It also discusses the combined/multifactorial lesions that can be found in the clinical setting. Finally, it presents the new classification of these lesions proposed by the Spanish Pressure Ulcers and Chronic Wounds Advisory Panel.
authors.affiliation: Care Strategy Unit. University Hospital of Jaen, Spain.|Executive Member of Spanish Pressure Ulcers and Chronic Wounds Advisory Panel.
authors.forename: F P
authors.initials: FP
authors.lastname: García-Fernández
authors.affiliation: University of La Rioja, Spain. Head of Spanish Pressure Ulcers and Chronic Wounds Advisory Panel.
authors.forename: J Javier
authors.initials: JJ
authors.lastname: Soldevilla Agreda
authors.affiliation: Executive Member of Spanish Pressure Ulcers and Chronic Wounds Advisory Panel.|Head of Department of Nursing. University of Jaen, Spain.
authors.forename: P L
authors.initials: PL
authors.lastname: Pancorbo-Hidalgo
authors.affiliation: Executive Member of Spanish Pressure Ulcers and Chronic Wounds Advisory Panel.|University of Alicante, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Verdu-Soriano
authors.affiliation: Executive Member of Spanish Pressure Ulcers and Chronic Wounds Advisory Panel.|Health Department of Alcoy, Spain.
authors.forename: P
authors.initials: P
authors.lastname: López Casanova
authors.affiliation: Executive Member of Spanish Pressure Ulcers and Chronic Wounds Advisory Panel.|Home Care of Cádiz, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Rodríguez-Palma
mesh_terms: D026683:Advisory Committees; D006801:Humans; D015588:Observer Variation; D017410:Practice Guidelines as Topic; D003668:Pressure Ulcer / Q000145:classification* / Q000175:diagnosis*; D013030:Spain; D014945:Wound Healing
keywords: chronic wound; classification; friction injuries; moisture-associated skin damage; pressure ulcer