European studies indicate that pressure ulcer classification is difficult and that misclassification between pressure ulcer and incontinence-associated dermatitis (IAD) frequently occurs. Misclassification results in inadequate preventive and therapeutic measures. Education and training are important to optimise classification skills. The PuClas3 tool aims to further support clinical teaching and learning about pressure ulcer classification and incontinence-associated dermatitis (IAD) differentiation.

puclas-logo-blue-300x105The newly developed PuClas3 tool includes an update of the classification system according to the latest guidelines, updated terminology for IAD, photographs, assessment modules and separate modules with basic principles about pressure ulcers and IAD. It has been developed as an answer for the ongoing major difficulties experienced by healthcare professionals when classifying pressure ulcers and making a distinction between pressure ulcers and skin lesions caused by urinary and faecal incontinence. The scientific content is based on the EPUAP position statement on pressure ulcer classification and IAD differentiation, and provides an overview of causative factors and of typical wound-related characteristics.

In order to get your login details, please contact the EPUAP Business Office. Please note that the EPUAP member area login is not the same as the login for PUCLAS3.



Module 1 – Introduction to Pressure Ulcers
This eLearning module provides an overview of pressure ulcers, the aetiology, prevalence and incidence, impact on patient quality of life and carers, and basic principles for prevention.

Module 2 – Introduction to Incontinence-Associated Dermatitis (IAD)
This module will provide an introduction to Incontinence-Associated Dermatitis (IAD), the size and impact of the problem, aetiology and basic principles for prevention.

Module 3 – Pressure Ulcer Classification
This eLearning module will provide an overview of the current Pressure Ulcer Classification System

Module 4 – Differentiation between Incontinence-Associated Dermatitis (IAD) and Pressure Ulcers
This eLearning module will provide an overview of the clinical and patient characteristics of IAD versus pressure ulcers and the importance of making the correct differential diagnosis.



EPUAP Webinar: ’Hard to heal pressure ulcers’: to treat or not to treat?
Speaker: Dr. Leena Berg
Senior consultant in plastic surgery at Kuopio University Hospital and at Central Hospital of Kainuu

Date: Wednesday, 5 April 2017
Time: 10:00 – 11:00 (CET) including Q&A session
Webinar fee: 25 EUR

In order to register please fill in the registration form and send it back by email at office@epuap.org (attn. Adina Markova).

Webinar Focus

Pressure ulcers represent high costs and labor-intensive challenges to the health care system around the world. Problems occur when offloading fails. If conservative management of pressure ulcers don’t succeed, then operative treatment may be needed. Hereby, the patient must understand and follow the needs of postoperative care. Because of the high recurrence rate of pressure ulcers, allocation of the limited financial resources should target to those patients most likely to benefit from surgical treatment. Social factors such as accessibility to supportive care, compliance and substance abuse are important considerations with strong impact to decide on the definitive treatment.

Dr. Berg will give an overview to clear out this difficult choice between conservative and surgical treatment of pressure ulcers, while keeping in mind to always treat the patient in a holistic approach.



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