A well-defined superficial pressure ulcer. Pressure ulcers on the skin of the buttock area on a paralyzed woman that has broken down due to the inability to move. Before the skin breaks down into an ulcer, skin areas subjected to too much pressure turn red, as seen on the lower back of this elderly woman. A pressure ulcer can be seen in the area just above the buttock crease. This ulcer on the side of the foot is from prolonged pressure. A pressure ulcer can be seen on the outer ankle area.
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Bedsores (Pressure Ulcers)  Information for adults

Picture of Bedsores (Pressure Ulcers): A well-defined superficial pressure ulcer. Divider line
A well-defined superficial pressure ulcer.
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Self-Care Guidelines
Do not attempt self-care for any ulcer beyond stage 2 in appearance.

In the early stages (1 and 2) of bedsores, the area may heal with relief of pressure and by applying care to the affected skin.

A good diet will aid skin healing, especially by taking in enough vitamin C and zinc, which are available as supplements.

For effective skin care:
  • If the skin is not broken, gently wash the area with a mild soap and water.
  • Clean open sores on the skin with salt water (saline, which can be made by boiling 1 quart of water with 1 teaspoon of salt for 5 minutes and kept cooled in a sterile container).
  • Apply a thin layer of petroleum jelly (Vaseline®) and then cover with a soft gauze dressing.
  • Be sure to keep urine and stool away from affected areas.
To relieve pressure:
  • Change positions often (every 15 minutes in a chair and every 2 hours in a bed).
  • Use special soft materials or supports (pads, cushions, and mattresses) to reduce pressure against the skin.
When to Seek Medical Care
If a stage 2 bedsore does not begin to heal in a few days, or if the sore is at stage 3 or above, seek medical advice.

Get immediate care if you notice signs of infection (fever, spreading redness, swelling, or pus).
Last Modified: 25 Feb 2009