**2. Definition**

The National Pressure Ulcer Advisory Panel (NPUAP), an organization comprised of leading experts in health care dedicated to the prevention and management of pressure ulcers, during a consensus conference held in the spring of 2016 replaced the term pressure ulcer with pressure injury to more accurately reflect injuries related to pressure in both intact and ulcerated skin [1]. The NPUAP also revised their definition of a pressure injury as *localized damaged to the skin and/or underlying soft tissue usually over a bony prominence or related to a medical or other device. The injury can present as intact skin or an open ulcer and may be painful. The injury occurs as a result of intense and/or prolonged pressure or pressure in combination with shear. The tolerance of soft tissue for pressure and shear may also be affected by microclimate, nutrition, perfusion, comorbidities and condition of the soft tissue* [1]. The European Pressure Ulcer Advisory Panel (EPUAP), also a leading organization of wound care experts, continues to use the term pressure ulcer as well as the definition originally developed in conjunction with the NPUAP, which states a pressure ulcer is a *localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear* [4].
