Pressure Ulcers

Pressure Ulcers

  • Localized injury to the skin and/or underlying tissue (usually over a bony prominence) as a result of pressure or pressure in combination with shear
  • Located at tailbone, heels, hips, shoulder blades, ankles, elbows, ears, and the back of your head.

Risk factors for pressure ulcers

  • Advanced age
  • Immobility
  • Anemia
  • Impaired circulation
  • Contractures
  • Incontinence
  • Diabetes mellitus
  • Low diastolic blood pressure (<60 mm Hg)
  • Elevated body temperature
  • Mental deterioration
  • Friction (rubbing of surfaces together)
  • Neurologic disorders
  • Obesity
  • Prolonged surgery
  • Pain
  • Vascular disease

Nursing Assessment

  • Conduct a thorough head-to-toe assessment on admission to identify and document any pressure ulcers.
  • After admission, conduct periodic reassessment of the skin and wounds.
    • Assessment tool such as the Braden Scale

Nursing Diagnosis

  • Impaired skin integrity related to mechanical factors and physical immobilization
  • Impaired tissue integrity related to impaired circulation and imbalanced nutritional state


  • Have no deterioration of the ulcer
  • Reduce or eliminate the factors that lead to pressure ulcers
  • No developing infection in the pressure ulcer
  • Have healing of pressure ulcers
  • Have no recurrence


More Posts

How to Grill Safely

What You Need to Know When handling raw meat, chicken and other poultry, and seafood Separate it from other food Refrigerate it before grilling Wash

The Importance of Urgent Care

Urgent care centers are a vital part of the healthcare system. They provide convenient, affordable, and quality care for a wide range of minor illnesses

Common Urgent Care Conditions

These are just a few of the common urgent care conditions. If you are experiencing any of these symptoms, it is important to see a