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Time to challenge the continued use of the term 'pressure ulcer'?

N urses are at the frontline in hospitals and care facilities when it comes to reducing pressure ulcer incidence. Yet, despite initiatives allowing nurses to implement a range of pressure reducing measures, there remains a persistent and unacceptably high prevalence of pressure ulcers (Demarré et al, 2015; Bauer et al, 2016). Occurrence of these painful, sometimes life-threatening, but often avoidable, patient harms risks litigation and poor quality-audit outcomes. Understanding the underlying causes and hence effective prevention is, I argue here, not helped by the misleading inferences in the actual term ‘pressure ulcer’. In the most recent international guidelines the definition of a pressure ulcer is given as: