New guidelines are released 15 November 2019.

2019 International Guideline Launch

15 – 16 November 2019

Los Angeles, United States



The European and US National Pressure Ulcer Advisory panels (EPUAP and NPUAP), along with the Pan Pacific Pressure Injury Alliance (PPPIA), issued the latest release of their International Pressure Ulcer Guidelines in September 2014. Draft guidelines were made available to 986 invited stakeholder individuals and organisations/societies and stakeholder feedback was considered by the guideline developers. In the final development process, the guideline development team used a consensus voting process (GRADE) to assign strengths of recommendation. Strength of recommendations indicate the extent to which one can be confident that adherence to a recommendation will do more harm than good, and are indented to assist the health professional to prioritise interventions.

The guideline includes 575 explicit recommendations and/or research summaries for the following pressure ulcer topics: etiology; prevalence and incidence; risk assessment; skin and tissue assessment; preventive skin care; prophylactic dressings; microclimate control; fabrics and textiles; nutrition; repositioning and early mobilisation; support surfaces; medical device related pressure ulcers; pressure ulcer classification; wound assessment; monitoring of healing; pain assessment and treatment; cleansing; debridement; wound dressings (including growth factors and biological wound dressings); assessment and treatment of infection and biofilms; biophysical agents (e.g. electrical stimulation, negative pressure wound therapy, electromagnetic field treatment); and surgery.

Additional sections address the specific needs of special populations including bariatric individuals, critically ill individuals, older adults, pediatric individuals, individuals in palliative care and individuals in the operating room setting. The guideline includes sections to assist in implementing the guideline within organisations, including quality improvement strategies, quality indicators, health professional education and recommendations to assist patient consumers.

The guidelines also includes the NPUAP/EPUAP International Pressure Ulcer Classification system, complete with full Category/Stage descriptions and illustrative photography.



Please see below the link where all chapters can be downloaded for free:

A digital copy of the 2014 Edition of the EPUAP Quick Reference Guide is available to download for free here:


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