Tugging, pulling or friction caused by clothes, bedding or skin rubbing against skin may cause the skin to break down. Common sites are over the pelvic area, the back, the outside of the hips, the heels, the bones on each side of the ankle, the elbows, and the back of the head. It is critical for you to aggressively seek help at the first sign of a bedsore to prevent serious, painful injuries to the person in your care. As the condition progresses the skin breaks down and an ulcer develops. If not treated the ulcer can penetrate more deeply into the tissue.
Secondary infections are common, spreading the damage and slowing the healing process.
Caregiver tips Focus on prevention. Passive movements are necessary for persons who cannot move themselves. Set a two-hour limit on resting without a position change. Bedsores can begin to develop after 30 minutes in one position. Encourage small bodily movements.