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Pressure Ulcers

What Are Pressure Ulcers?

Pressure ulcers – also called pressure sores or bedsores – result from skin injuries caused by pressure or friction. They can develop when you stay in the same position for long periods of time.

Pressure ulcers typically form in places where your weight presses against skin that is close to bones. Sores can form on your hips, back, elbows, ankles and heels. You’re at risk if you’re bedridden, use a wheelchair or can’t move and change your position often.

Pressure sores can cause life-threatening infections. Hospital patients or nursing home residents must be moved often to avoid this complication.

Prevention

Watch for signs of pressure sores to prevent complications. Advanced or infected sores are harder to heal.

  • Keep skin clean and dry.
  • Change position every two hours.
  • Use pillows, cushions or mattresses to relieve pressure.

Symptoms

Care providers measure pressure ulcers in stages. Symptoms at each stage include:

  • Stage 1 – Skin is red and may feel warm. It can cause pain and burning or itching. On darker skin, sores may look blue or purple.
  • Stage 2 – Skin is swollen and painful. It may have blisters or an open sore draining fluid or pus.
  • Stage 3 – Deeper tissue layers are damaged. The wound may resemble a crater and have strong odor.
  • Stage 4 – Affected tissues are severely damaged causing a large wound that may become infected. Underlying muscle, bone, tendons and joints may be visible.

Symptoms of Infection

Infected ulcers are slow to heal. Infection can spread through your body.

  • Thick yellow or green pus
  • Strong smell from wound
  • Red or warm skin
  • Swelling around the sore
  • Tenderness

Symptoms of a Spreading Infection

  • Confusion or trouble concentrating
  • Fever and chills
  • Rapid heartbeat
  • Weakness

Treatment Options

If an ulcer forms, immediate care is needed. Treatment begins with evaluating and cleaning the wound, including removal of dead or injured tissue. Your care provider may apply protective topical treatments and dressings.

Your doctor may prescribe medication for pain or infection. You may be referred to specialists for therapy or advanced wound care.

Ready for an Appointment?

If you're experiencing signs or symptoms of a pressure ulcer, schedule an appointment or call 800-TEMPLE-MED (800-836-7536) today.

Learn more about our doctors and care team who diagnose and treat pressure ulcers.