ABSTRACT
A number of terms have been used to describe damage to the skin associated with immobility, impaired circulation and poor health resulting in prolonged immobility. Friction between the skin and another surface can result in the development of small intradermal blisters which in turn lead to superficial breaks in the skin surface. This can either initiate or speed up the development of a pressure ulcer. Pressure ulcers can occur in any patient who is immobile for long periods. There are four main factors that contribute to the development of pressure ulcers: friction, moisture, pressure, and shear. Almost 20% of pressure ulcers occur in patients who are being cared for at home. Regular assessment by a trained person is vital, and should be arranged and carried out by the community nurse.
