A Review of the Skin Failure Concept

My colleagues, Barbara Delmore PhD, RN, CWCN, MAPWCA and Jill Cox PhD, RN, APN-c, CWOCN, and I have written a paper,1 available electronically ahead of print, that reviews the skin failure concept, defines related controversies, and proposes a model for its pathogenesis. Like all other organs, skin can fail; however, experts continue to grapple with definitions, causative factors, and manifestations. By defining contributing factors that apply to other organ systems, providers establish skin failure as an entity and thus are able to recognize and address it in practice. This also enables providers to assist regulators by incorporating these pathophysiologic factors into modification of quality measurement criteria. Unifying the concept across the health care continuum … read more

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