Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies

Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies

Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.

Methods of Documentation III: PIE

Methods of Documentation III: PIE

Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:

Peptic Ulcer Disease III: Clinical Manifestations and Complications

Peptic Ulcer Disease III: Clinical Manifestations and Complications

Duodenal UlcersDuodenal ulcers are the most common form of peptic ulcer disease, presenting with chronic, intermittent epigastric pain. Pain typically appears 2–3 hours after meals, especially when the stomach is empty, often waking patients at night. It is characteristically relieved by food or antacids (“pain–food–relief”). Some patients remain asymptomatic until complications like bleeding or perforation emerge, particularly with NSAID or anticoagulant use.Gastric UlcersGastric ulcers share...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Invisible Agency in the Search for Healing: Patient and Family Roles in the Care of Hard-to-Heal Wounds in Primary Healthcare.

International wound journal·2026

Same author

Clinical outcomes, patient satisfaction and operational efficiency of AI-powered chatbots in medicine and healthcare: protocol for an AI-aided scoping review.

BMJ open·2026

Same author

Prevention and treatment of incontinence-associated dermatitis through optimising care: the PREVENT-IAD Synopsis.

Health technology assessment (Winchester, England)·2026

Same author

The impact of pressure ulcer prevention education on the knowledge, skills and attitudes of health care assistants working in long term care settings.

Journal of tissue viability·2026

Same author

Knowledge, attitudes and practices of healthcare professionals in nutritional management of patients with pressure ulcers: an online survey in Flanders and the Netherlands.

Journal of tissue viability·2026

Same author

Development and content validation of WoundPilot: a clinical decision support system for structured wound assessment and decision-making.

Journal of tissue viability·2026

Search research articles

Related Experiment Video

Updated: Jul 9, 2026

Measuring Psoriasis Severity at Home

Measuring Psoriasis Severity at Home

Published on: March 1, 2024

EPUAP classification system for pressure ulcers: European reliability study.

Dimitri Beeckman¹, Lisette Schoonhoven, Jacqui Fletcher

¹Nursing Science, Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Belgium. dimitri.beeckman@ugent.be

Journal of Advanced Nursing

|November 28, 2007

Summary

The European Pressure Ulcer Advisory Panel classification system shows low inter-observer reliability among nurses. Improving definitions and simplifying the system is recommended to enhance accuracy in pressure ulcer assessment.

More Related Videos

Mouse Model of Pressure Ulcers After Spinal Cord Injury

Mouse Model of Pressure Ulcers After Spinal Cord Injury

Published on: March 9, 2019

Development of a Benchtop Model for Evaluating the Compatibility of Wound Dressing Materials with Negative Pressure Wound Therapy Systems

Development of a Benchtop Model for Evaluating the Compatibility of Wound Dressing Materials with Negative Pressure Wound Therapy Systems

Published on: May 2, 2025

Related Experiment Videos

Last Updated: Jul 9, 2026

Measuring Psoriasis Severity at Home

Measuring Psoriasis Severity at Home

Published on: March 1, 2024

Mouse Model of Pressure Ulcers After Spinal Cord Injury

Mouse Model of Pressure Ulcers After Spinal Cord Injury

Published on: March 9, 2019

Development of a Benchtop Model for Evaluating the Compatibility of Wound Dressing Materials with Negative Pressure Wound Therapy Systems

Development of a Benchtop Model for Evaluating the Compatibility of Wound Dressing Materials with Negative Pressure Wound Therapy Systems

Published on: May 2, 2025

Area of Science:

Wound care research
Clinical assessment tools
Nursing practice

Background:

Accurate pressure ulcer classification is vital for clinical practice, audits, and research.
The European Pressure Ulcer Advisory Panel (EPUAP) system is widely used but its reliability requires further investigation.

Purpose of the Study:

To evaluate the inter-observer reliability of the EPUAP pressure ulcer classification system.
To assess the accuracy in differentiating between moisture lesions and pressure ulcers.

Main Methods:

A survey involving 1452 nurses across five European countries.
Nurses classified 20 validated images depicting various skin conditions, including pressure ulcers of different grades and moisture lesions.
Participants were familiar with the EPUAP classification scale.

Main Results:

Low inter-observer reliability was observed for the EPUAP system (kappa = 0.33).
Significant confusion occurred in classifying pressure ulcer grades (e.g., Grade 3 as Grade 2) and distinguishing between blanchable and non-blanchable erythema.
Differentiating moisture lesions from pressure ulcers proved challenging.

Conclusions:

The EPUAP pressure ulcer classification system demonstrates low inter-observer reliability.
Enhancements in clarity, including unambiguous definitions and descriptions for ulcer grades and moisture lesions, are needed.
A reduction in the number of classification grades is suggested to simplify the system.