Management of pressure ulcers in the nursing home

Pressure ulcers are best prevented by use of a risk assessment tool and protocol-based care plans. Successful treatment depends on assessment of the entire patient as well as the ulcer. Local treatment is determined by wound characteristics; pressure relief is essential. Nutritional factors, especially protein and calories, are important determinants of healing. Physical therapists, occupational therapists, enterostomal therapists, and dietitians can be helpful resources. A minority of patients may benefit from surgical closure; electrotherapy shows promise for recalcitrant wounds.