Wound Prevention10 min read

Pressure Ulcer Prevention: A Caregiver's Guide

Essential strategies to prevent bedsores in bed-bound or wheelchair-bound patients. Learn positioning, skin care, and early warning signs.

Pressure ulcers (bedsores) are largely preventable with proper care. As a caregiver, you play a crucial role in protecting your loved one's skin and recognizing early warning signs before serious wounds develop.

High-Risk Areas

Pressure ulcers develop where bones press against the skin. Common locations include:

Tailbone (sacrum)
Heels and ankles
Hips and buttocks
Shoulder blades
Back of head
Ears (from oxygen tubing)

Prevention Strategies

Repositioning Schedule

  • • Turn bed-bound patients every 2 hours
  • • Shift wheelchair patients every 15-30 minutes
  • • Use pillows to protect bony areas
  • • Avoid positioning directly on the hip bone

Skin Care

  • • Keep skin clean and dry
  • • Use moisture barrier creams
  • • Pat dry—never rub
  • • Apply lotion to dry areas (not between toes)

Support Surfaces

  • • Use pressure-redistributing mattresses
  • • Consider alternating pressure mattresses for high-risk patients
  • • Use heel protectors when lying down
  • • Wheelchair cushions designed for pressure relief

Nutrition & Hydration

  • • Ensure adequate protein intake
  • • Stay well hydrated
  • • Consider vitamin supplements if recommended
  • • Address any swallowing difficulties

Early Warning Signs

Stage 1 - Act Now!

The earliest stage is reversible if caught early. Look for:

  • Red area that doesn't turn white when pressed
  • Skin that feels warmer or cooler than surrounding areas
  • Skin that feels firmer or softer
  • Pain or itching at a pressure point

When to Call for Help

Contact us if you notice:

  • Any skin breakdown or open wound
  • Red areas that persist after repositioning
  • Signs of infection (warmth, drainage, odor)
  • Wounds that aren't healing

Need Help With Pressure Ulcer Care?

Our wound care specialists provide in-home treatment throughout Southern California.