Managing bedsores (pressure ulcers)

Reposition and relieve pressure to prevent sores from forming

• Shift the weight and change position at least once every hour.
• Avoid sitting or laying on any affected or sore area.
• Use equipment, such as slide sheets, mechanical lifts, or specialty wheelchairs to move in and out of bed without damaging the skin.
• Use cushions or a special mattress (foam or air mattress) to relieve pressure. Do not use donut pillows, as they can focus pressure on surrounding tissue.
• If possible, adjust the elevation of the bed, raising it no more than 30 degrees.

Inspect and monitor the skin regularly

• Watch for any changes in the wound or skin color, temperature, and swelling levels to check for signs of infection.
• Monitor the level of hardness or softness of pressure areas compared to the surrounding skin.
• Pay special attention and look for redness on pressure areas such as the tailbone, heels, elbows, hip bones, ankles, shoulder tips, knees and elbows. Monitor any signs of new bed sores.

Regular skincare

• Wash any pressure-affected skin with a gentle cleanser and pat dry.
• Protect the sore and the surrounding area with a foam wedge or pillow.
• Change bedding and clothing frequently.
• Keep bottom sheets pulled tight to prevent pressure creating wrinkles and irritation to the skin.
• Choose clothing that isn’t too tight or so loose that it wrinkles or irritates the skin.

Nutrition and hydration

• Eat foods high in protein (such as fish, eggs, meats, milk, nuts, or peanut butter).
• Increase fluid intake, try high-calorie liquids such as milkshakes or canned liquid food supplements.

Wound care

• Clean the affected area gently with sterile water or 0.9% saline solution.
• Remove any obvious debris using sterile tweezers or gauze.
• Cover the wound with a suitable dressing or creams as directed by the healthcare provider.
• Use pain medications as directed or suggested by the healthcare provider.

If you are unsure about what is causing or how to manage the bedsores, speak to your nurse or doctor, they can advise how to best manage it.