Pressure Ulcer does not equal Poor Care

By editor
April 6, 2015

Often times when patients develop a pressure ulcer, the first question asked is, “How did this happen?” And the next question of course is, “Whose fault is it?” or “Where did this happen?” Unfortunately the blame game doesn’t help heal the wounds. The truth is that patients develop pressure ulcers as a result of a variety of factors, when there is a breakdown in patient health. Although poor care such as lack of turning and repositioning may be a contributor, most nurses, hospitals, and nursing homes work hard to prevent these ulcers on top of all their other responsibilities. Most patients who develop pressure ulcers have multiple medical problems as well as difficulty getting out of bed. Healthy ambulatory patients do not develop pressure ulcers. The problem with the blame game embarrasses frontline health care professionals, and the pressure ulcers are not brought to light until they worsen. No one wants to be the bearer of bad news to patient family’s, or their supervisor. Hospitals and nursing homes do not want the stigma that the wound developed on their premises. Unfortunately society at large and the medical community continue to automatically associate a pressure ulcer with poor care. These wounds should no longer be solely associated as poor care, at Skilled Wound Care we work to understand the nature and etiology of these wounds on every visit. We believe these wounds should be re-termed chronic wounds. If you agree with our movement. Please follow us and spread the word. Call our offices at (310) 445-5999 for a free Pressure Ulcer ≠ Poor Care pin.

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2 Responses to “Pressure Ulcer does not equal Poor Care”

  1. While the term chronic wounds is a good euphemism,giving front-line medical professionals a breather, the etiology implicates prolonged pressure to the site as a significant contributing factor..It should be emphasised that especially for patients in such critical conditions that preclude the frequent turnings required or those with anticipated long-term requirement to remain in a recumbent position, a special type of mattress should be recommended at the onset to mitigate against the development of chronic wounds.It was not until I joined SWC that I realised the sad impact of delayed intervention.

    • editor says:

      Thank you for your comments Dr. Fajolu. As we know our frontline nurses are doing a great job preventing pressure ulcer formation, but there are those unavoidable cases as you mention. Early intervention is a must of course. Yet nurses should not feel that the development of pressure ulcers is entirely their fault and delay diagnosis and care. Presenting these wounds for care right away, will allow for much better healing options.

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