Pressure sores

Ulcers that develop on the skin of patients who are unconscious or immobile. They are also known as decubitus ulcers or bedsores. Common sites include the shoulders, elbows, lower back, hips, buttocks, ankles, and heels. Pressure sores may develop following stroke or spinal injuries that result in a loss of sensation. Incontinence, if it results in constantly wet skin, may also be a contributory factor. Pressure sores start as red, painful areas that become purple before the skin breaks down. At this stage, the sores often become infected and are very slow to heal. Deep, chronic ulcers may require treatment with antibiotic drugs and, in some cases, possibly plastic surgery. Good nursing care, including changing the patient’s position regularly, skin care, protection of vulnerable areas, and use of cushions and special mattresses, should prevent pressure sores from developing in most cases.