Pressure sores can occur when a patient is immobile or bed bound for a period of time. They are caused by pressure being placed on a particular area of their skin and protruding joints, such as the buttocks, spine, ankles, heels, etc. If sufficient pressure is applied to the skin, the surface can become compromised leading to a break, which can become infected. Pressure sores can develop quickly and once established they are difficult to treat.

The elderly, immobile and those who are diabetic or suffer from pre-existing skin conditions are most at risk from developing pressure sores.

Pressure sores can occur as a result of negligence such as:

• Failure to use pressure relieving equipment in cases where its use has been identified as being required.
• Failing to carry out regular inspections of the skin for signs of pressure sore development.
• Failure to ensure the patient is moved and repositioned regularly, especially in accordance with any care plan.
• Failing to perform adequate assessments to assist in assessing the risk of pressure sore development and to take preventative measures as appropriate.
• Sores can also develop when bandages and plaster are put on too tight.

Common types of pressure sore claims include:

• The failure to use assessment tools and clinical judgement with regard to skin integrity and the risk of pressure sore development.
• The failure to use appropriate pressure relieving equipment in cases where the requirement for the use of such equipment has been identified.
• Substandard nursing care by failing to reposition or move the patient in line with the treatment plan.
• The failure to implement and monitor appropriate nursing plans to reduce the risk of pressure development.

Pressure and plaster sores can be prevented by:

• Having an appropriate bed in a hospital or care home.
• Being regularly moved from the same static position.
• Removing plaster that is too tight and re-applying plasters correctly.