Pressure sores don't always start as an open wound

Pressure sores, also called pressure injuries or bed sores, develop when skin and the tissue underneath are pressed for a long time, often over bony areas such as the heels, hips, lower back, elbows and back of the head. They are more common in people who spend much of the day in bed or in a chair.

Many people expect a pressure sore to look like an open wound. In fact, the earliest stage is often unbroken skin. It may look red on lighter skin, or darker, purple or shiny on darker skin tones. The area may feel warmer, cooler, firmer or softer than the skin around it, and the person may say it feels sore or itchy.

A useful check on lighter skin is to press gently on a red area. If it does not briefly turn pale, that may be an early sign of damage. On darker skin, changes in colour, temperature and texture are often more helpful signs.

Prevention focuses on relieving pressure. Changing position regularly, using suitable cushions or mattresses, keeping skin clean and dry, and eating and drinking well all help protect the skin. Caregivers can check the skin daily, especially over bony areas.

If you notice skin changes that do not settle after pressure is removed, or any blistering or broken skin, ask a healthcare professional to take a look. Early attention can make a real difference.

Every person and every wound is different. If you have any concerns, please speak to a healthcare professional, or contact our team to chat about your situation.