Inclusion Criteria:  Patient must be literate in either Malay or English language. Patients with PI stage II or stage III according to NPIAP staging of PI. PI located either at sacrococcygeal / greater trochanter/ischial tuberosities. Braden score 14 or less; with mobility score 2-very limited or 1-slightly limited Absence of any active malignant, infectious, hematological problem or psychiatric disease  Exclusion Criteria:  Immunocompromised Having urinary/fecal incontinence Comatose patient or who are unable to respond verbally Patient who will undergo flap or skin graft surgery