BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuHow to care for pressure soresPressure ulcer - care; Bedsore - care; Decubitus ulcer - careA pressure sore is an area of the skin that breaks down when something keeps rubbing or pressing against the skin.CausesPressure sores occur when there is too much pressure on the skin for too long. This reduces blood flow to the area. Without enough blood, the skin can die and a sore may form.Pressure soresPressure ulcers are also called bedsores, or pressure sores. They can form when your skin and soft tissue press against a harder surface, such as a ...ImageRead Article Now Book Mark Article You are more likely to get a pressure sore if you:Use a wheelchair or stay in bed for a long time Are an older adult Cannot move certain parts of your body without help Have a disease that affects blood flow, including diabetes or vascular disease Have Alzheimer disease or another condition that affects your mental state Have fragile skin Cannot control your bladder or bowels Do not get enough nutrition SymptomsPressure sores are grouped by the severity of symptoms. Stage I is the mildest stage. Stage IV is the worst.Stage I: A reddened, painful area on the skin that does not turn white when pressed. This is a sign that a pressure ulcer may be forming. The skin may be warm or cool, firm or soft. Stage II: The skin blisters or forms an open sore. The area around the sore may be red and irritated. Stage III: The skin now develops an open, sunken hole called a crater. The tissue below the skin is damaged. You may be able to see body fat in the crater. Stage IV: The pressure ulcer has become so deep that there is damage to the muscle and bone, and sometimes to tendons and joints.There are two other types of pressure sores that don't fit into the stages.Sores covered in dead skin that is yellow, tan, green, or brown. The dead skin makes it hard to tell how deep the sore is. This type of sore is "unstageable." Pressure sores that develop in the tissue deep below the skin. This is called a deep tissue injury. The area may be dark purple or maroon. There may be a blood-filled blister under the skin. This type of skin injury can quickly become a stage III or IV pressure sore.Pressure sores tend to form where skin covers bony areas, such as your:Buttocks Elbow Hips Heels Ankles Shoulders Back Back of headCaring for a Pressure SoreStage I or II sores will often heal if cared for carefully. Stage III and IV sores are harder to treat and may take a long time to heal. Here's how to care for a pressure sore at home.Relieve the pressure on the area.Use special pillows, foam cushions, booties, or mattress pads to reduce the pressure. Some pads are water- or air-filled to help support and cushion the area. What type of cushion you use depends on your wound and whether you are in bed or in a wheelchair. Talk with your health care provider about what choices would be best for you, including what shapes and types of material. Change positions often. If you are in a wheelchair, try to change your position every 15 minutes. If you are in bed, you should be moved about every 2 hours.Care for the sore as directed by your provider. Keep the wound clean to prevent infection. Clean the sore every time you change a dressing.For a stage I sore, you can wash the area gently with mild soap and water. If needed, use a moisture barrier to protect the area from bodily fluids. Ask your provider what type of moisturizer to use. Stage II pressure sores should be cleaned with a salt water (saline) rinse to remove loose, dead tissue. Or, your provider may recommend a specific cleanser. Do not use hydrogen peroxide or iodine cleansers. They can damage the skin. Keep the sore covered with a special dressing. This protects against infection and helps keep the sore moist so it can heal. Talk with your provider about what type of dressing to use. Depending on the size and stage of the sore, you may use a film, gauze, gel, foam, or other type of dressing. Most stage III and IV sores will be treated by your provider. Ask about any special instructions for home care.Avoid further injury or friction.Powder your sheets lightly so your skin doesn't rub on them in bed. Avoid slipping or sliding as you move positions. Try to avoid positions that put pressure on your sore. Care for healthy skin by keeping it clean and moisturized. Check your skin for pressure sores every day. Ask your caregiver or someone you trust to check areas you can't see. If the pressure sore changes or a new one forms, tell your provider.Take care of your health.Eat healthy foods. Getting the right nutrition will help you heal. Lose excess weight. Get plenty of sleep. Ask your provider if it's OK to do gentle stretches or light exercises. This can help improve circulation.Do not massage the skin near or on the ulcer. This can cause more damage. Do not use donut-shaped or ring-shaped cushions. They reduce blood flow to the area, which may cause sores.When to Call the DoctorCall your provider if you develop blisters or an open sore.Call immediately if there are signs of infection, such as:A foul odor from the sore Pus coming out of the sore Redness and tenderness around the sore Skin close to the sore is warm and/or swollen Fever Open ReferencesReferencesJames WD, Elston DM Treat JR, Rosenbach MA, Neuhaus IM. Dermatoses resulting from physical factors. In: James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM, eds. Andrews' Diseases of the Skin: Clinical Dermatology. 13th ed. Philadelphia, PA: Elsevier; 2020:chap 3.Marston WA. Wound care. In: Cronenwett JL, Johnston KW, eds. In: Sidawy AN, Perler BA, eds. Rutherford’s Vascular Surgery and Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019:chap 115.Qaseem A, Humphrey LL, Forciea MA, Starkey M, Denberg TD; Clinical Guidelines Committee of the American College of Physicians. Treatment of pressure ulcers: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2015;162(5):370-379. PMID: 25732279 pubmed.ncbi.nlm.nih.gov/25732279/.AllVideoImagesTogProgression of a decubitis ulcer - illustration If untreated, a pressure sore can progress from a small irritated but unbroken skin patch to a potentially life-threatening wound involving extensive tissue death and infection. Treatment of the serious decubitus ulcer may include debriding (excising) the dead tissue and administering systemic antibiotics.Progression of a decubitis ulcerillustrationProgression of a decubitis ulcer - illustration If untreated, a pressure sore can progress from a small irritated but unbroken skin patch to a potentially life-threatening wound involving extensive tissue death and infection. Treatment of the serious decubitus ulcer may include debriding (excising) the dead tissue and administering systemic antibiotics.Progression of a decubitis ulcerillustrationTalking to your MD Pressure ulcers - what to ask your doctor Self Care How to care for pressure soresPreventing pressure ulcersDiabetes - taking care of your feetVenous ulcers - self-careType 2 diabetes - self-carePeripheral artery disease of the legs - self-careIschemic ulcers - self-careCaring for muscle spasticity or spasms Diabetes - foot ulcersDiabetes tests and checkupsRelated Information Review Date: 5/30/2020 Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- © 1997- All rights reserved. A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.Content is best viewed in IE9 or above, Firefox and Google Chrome browser.