Wound Care
Pressure Ulcers
A pressure ulcer (decubitus ulcer) is a wound that forms when the skin and subcutaneous tissue are damaged by pressure and friction in patients with limited mobility who remain in the same position for a long time. It is seen most often in the sacrum, heel, and trochanter areas.
Overview
Treatment includes appropriate positioning, a pressure-distributing mattress/cushion, nutritional support, debridement, and stage-appropriate dressings. Advanced-stage wounds may require surgical flap repair.
Who Is It For?
- Bedridden patients who are immobile for long periods
- Individuals who develop a pressure ulcer after intensive care
- Elderly, bedridden patients with spinal cord injury or stroke
- Cases with slow wound healing on a background of malnutrition
Treatment Process
- 1
Wound Staging
The wound stage (1–4) and infection status are determined.
- 2
Pressure Distribution & Positioning
A position change every 2 hours and an appropriate mattress and cushion are planned.
- 3
Debridement & Dressing
Dead tissue is removed; stage-appropriate advanced dressings are applied.
- 4
Surgical Repair & Prevention
Flap surgery may be needed for stage 3–4 wounds; recurrence is prevented through nutrition and mobility programming.
Recovery & Aftercare
Healing varies markedly according to the wound stage and the patient's nutritional status.
Hospital Stay
Variable
Recovery Time
4–12 weeks
Follow-up
Weekly
Frequently Asked Questions
How is a pressure ulcer prevented at home?
A position change every 2 hours, a pressure-distributing mattress, skin moisturizing, and adequate protein and calorie intake are the basic measures.
Should antibiotics be started?
They are started only in the presence of clinical infection and after an appropriate culture. Colonization (growth on culture) alone does not require antibiotics.
Is negative-pressure therapy applied to every patient?
It is effective in wounds with adequate granulation and a manageable bleeding risk. Caution is needed in open fistula, malignant wounds, or inadequate circulation.
Why is nutrition important?
Inadequate protein, zinc, and vitamin C slow tissue repair. A nutrition plan is an integral part of pressure ulcer treatment.
The medical information on this page has been reviewed by Prof. Dr. Vahit Onur Gül. Last updated: 31 Temmuz 2026.
This information is for general guidance only and does not replace examination, diagnosis or treatment. Please consult your physician about your symptoms.
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