JSPU Guidelines for the Prevention and Management of Pressure Ulcers (4th Ed.)

The Japanese Society of Pressure Ulcers(JSPU)has compiled an English version of the updated third edition of the Guidelines for the Prevention and Management of Pressure Ulcers. The guidelines set forth here include a collection and discussion of medical issues specific to Japan as well as new evidence from research conducted abroad. Clinical questions (CQs)and their analyses were organized in the order of treatment followed by prevention: topical agents, dressings, surgical intervention, general management, rehabilitation, risk assessment, skin assessment, skin care, repositioning, support surfaces, patient education, outcome management, and QOL/pain. Each recommendation was assigned one of five ratings(A, B, C1, C2 and D). A CQ discussing the so-calledXwrap therapyYused in Japan was also included. As a new approach, algorithms and flow-charts were prepared for each topic. The present guidelines provide the best and most comprehensive recommendations currently available to health care professionals worldwide.