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PPPIA Pressure Injury Classification Systems
In the Pan-Pacific region (including Australia, New Zealand, Hong Kong and Singapore) the NPUAP/EPUAP International Pressure Ulcer Classification System (2014) is the recommended system for classifying pressure injuries.
Classification tools for pressure injuries in different populations have been developed by researchers from the Wound Healing and Management (WHAM) Collaborative and are used with permission by PPPIA.Pressure injuries can appear differently in skins of different tone. The tools below include adapted text from the NPUAP/EPUAP International Pressure Ulcer Classification System (2014), 3D graphics and photographs to assist health professionals in multicultural settings to classify pressure injuries. There are also tools to assist classification of pressure injuries in younger and older cohorts.
Resources may be downloaded and used as presented without changes. For further information visit the WHAM Collaborative.
Pressure Injury Classification System for Adults: Multicultural
Pressure Injury Classification System for Adults with Light Skin Tones
Pressure Injury Classification System for Dark Skin Tones
Pressure Injury Classification System for Asian Skin Tones
Pressure Injury Classification System for Older Adults
Pressure Injury Classification System for Neonates and Children
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PPPIA Pressure Injury Flow Charts
Care flow charts provide a systematic and visual overview of steps in the care process. A range of flow charts that summarise and streamline care delivery for prevention and treatment of pressure injuries have been developed by 2019 Guideline Governance Group representatives and the methodologist. The PPPIA strongly recommend reviewing the full version of the 2019 International Pressure Injury Guideline for implementation considerations, contraindications and cautions, and discussion of the evidence underpinning recommendations and good practice statements.
These Flow Charts are provided at no cost and can be reproduced for educational purposes in the original formats (including acknowledgements and logos) available on this website.
PPPIA Pressure Injury Flow Chart for Adults
PPPIA Pressure Injury Flow Chart for Adults (simplified)
PPPIA Pressure Injury Flow Chart for Children and Neonates
PPPIA Pressure Injury Flow Chart for Children and Neonates (simplified)
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Pressure Injury Resources for the Public
The New Zealand Accident Compensation Corporation (ACC) has developed a pressure injury prevention resource for patients and their informal carers available in multiple languages. The resources, including videos, are available at the NZWCS website and PDF versions are linked here: