Patient/caregiver was educated on causes of pressure ulcer development as follows:

Pressure on the skin

  1. Prolonged and unrelieved pressure on the skin over dependent body parts can compress the skin significant enough to compromise blood supply to the affected area.
  2. Normal blood supply is necessary to provide oxygen & nutrients to the body tissues and drain carbon dioxide & wastes from the body tissues.
  3. Compromised blood supply to the area of affected skin by unrelieved pressure can result in reduced oxygen & nutrient delivery and lead to injury, which upon due progression can result in pressure ulcer development.

Friction of the skin

  1. Friction injury can occur during moving/transporting/dressing/change of position by helpers, when the bedbound individual is dragged along the surface of bed, without complete lifting of the individual from the surface of contact.
  2. Also, aggressive wiping of affected skin during cleansing, continuous rubbing of skin against rough clothing, pads, & bedsheets can also contribute to friction injury and pressure ulcer development.