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Kinesio Rehab Physiotherapy Centre
Glossary · Skin and bed care

Pressure injury, or bed sore

It is damage to skin and tissue from staying in one position too long.

What is a pressure injury?

A pressure injury, also called a pressure sore or bed sore, is damage to the skin and the tissue under it. It happens when pressure on one spot cuts off blood flow for too long.

It usually forms over bony areas such as the tailbone, heels, hips and shoulder blades, in people who cannot move easily.

Why does it matter for a patient or family?

Pressure injuries are painful, slow to heal and can become serious. The best approach is to prevent them. A person who is bedridden, uses a wheelchair or has a stroke or spinal injury is at higher risk.

Families are usually the first to see a change, so a daily check matters more than any equipment.

What should we check each day?

Look at the skin over the tailbone, hips, heels, elbows and shoulder blades. Red skin that does not turn pale when pressed, a warm or hard patch, a blister or an open area are all signs.

Keep the skin clean and dry, and change damp clothes and sheets promptly, which matters in humid weather. Report any open area to a nurse or doctor the same day.

An everyday example in Ipoh

A daughter looks after her father at home in Menglembu after a stroke. She sets a gentle alarm to help him change position through the night, uses pillows to keep his heels off the bed and checks his tailbone when she bathes him.

One morning she notices a red mark that does not fade, so she keeps him off that side and calls the community nurse.

Read our guides on preventing pressure sores at home, bedridden patient physiotherapy and bedridden parent home care in Ipoh. See also spinal cord injury.

Questions people ask

How frequently should a bedridden person be turned?

The pattern depends on the person's health, skin and mattress, so ask the doctor or nurse for a schedule. A physiotherapist can show safe turning and positioning that uses pillows to protect the heels and tailbone.

Is an air mattress necessary?

Not always, but it can help people at higher risk. It does not replace changing position and checking the skin. Ask the doctor or nurse what suits your family member, and what you can afford.

What do I do if the skin is red?

Take pressure off the area straight away by changing position, keep the skin clean and dry, and tell a nurse or doctor. Do not rub the red area. If there is an open sore, get medical care the same day.

Talk to a physiotherapist about your next step

If a parent spends most of the day in bed or a chair, tell us their condition and how they move; we will show how positioning and turning can protect the skin at home.

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