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Pressure ulcers

Published: 09/09/2026
Last edited: 09/09/2026
Code: 01363

Pressure Ulcers

What are pressure ulcers?

Many people are at risk of developing a pressure ulcer.

People who may be at increased risk include those with:

  • limited movement
  • poor circulation
  • existing skin damage
  • prolonged use of a wheelchair
  • end of life care needs.

Pressure ulcers, sometimes called pressure sores or bedsores, are injuries that affect the skin and underlying tissue.

They can range from areas of discoloured skin to open wounds that may expose underlying muscle or bone.

What causes pressure ulcers?

Pressure ulcers can develop because of reduced circulation and limited movement.

They may occur when:

  • a large amount of pressure is applied to the skin over a short period
  • a smaller amount of pressure is applied over a longer period.

To help prevent pressure ulcers, it is important to:

  • moisturise your skin regularly
  • change your position regularly
  • reduce pressure on vulnerable areas of the body.

There are a range of pressure-relieving aids available to help improve comfort and reduce pressure, including cushions, specialist mattresses and pressure-relieving air mattresses.

Your community nursing team or palliative care team can assess your needs and arrange suitable equipment if required.

Pressure areas

Certain areas of the body are more likely to develop pressure ulcers.

When lying on your side
When lying on your back
When using a wheelchair

Skin changes

The skin is the largest organ in the body.

Towards the end of life, the skin may reflect changes happening within the body. As organs begin to function less effectively, the skin may receive a reduced blood supply.

As a result:

  • the skin may feel cooler
  • the skin may appear blue or purple in colour
  • areas of pink, red or purple discolouration may develop, particularly over pressure areas
  • areas of skin may appear bruised.

If you, or someone you care for, is at risk of developing a pressure ulcer or you notice any of these skin changes, please inform a healthcare professional as soon as possible. Do not wait until the next scheduled visit.

Healthcare professionals will take all appropriate steps to help keep the skin healthy and intact wherever possible.

However, comfort will always remain a priority. In some circumstances, skin breakdown may still occur despite appropriate care being provided.

Contact us

01795 562190
kcht.tissueviability@nhs.net
Monday to Friday, 9am to 5pm

Medway
0300 123 3444
Options to select when prompted: 1-2-2-2
medch.cccadults@nhs.net
Monday to Friday, 8.30am to 4.30pm 

This information should only be followed on the advice of a healthcare professional. 

Do you have feedback about our health services?

0800 030 4550
Text 07899 903499
Monday to Friday, 10am to 3pm
kentchft.PALS@nhs.net
www.kentcht.nhs.uk/PALS

Patient Advice and Liaison Service (PALS)
Kent Community Health NHS Foundation Trust
Trinity House, 110-120 Upper Pemberton
Ashford
Kent
TN25 4AZ

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If you need communication support or this information in another format, please ask a member of staff or contact PALS using the details above.

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