What is a pressure injury?

Pressure injuries result from prolonged pressure and/or shear forces on the skin and underlying tissues—most commonly over bony prominences such as the ischial tuberosities, trochanters, heels, and elbows.

These injuries can cause cell deformation, ischaemia, and cell death; however, not all pressure injuries lead to open wounds. Deep tissue pressure injuries, especially near joints, may present as firm lumps or areas of discolouration without visible skin breakdown.

Some pressure injuries may originate from seemingly minor causes such as pimples, rashes, scrapes, burns, or bruises.

Pressure injuries can develop rapidly.

If inadequately managed, they can significantly impair quality of life. Possible complications include reduced mobility, deconditioning, loss of independence, prolonged hospitalisation, surgery, infection, and sepsis.

References

Pressure Injury Toolkit For Spinal Cord Injury and Spina Bifida
NSW Government and Agency for Clinical Innovation (ACI)

Best practice for clinicians and management for pressure injury
Australian Commission on Safety and Quality on Hospital-acquired complication

Free pdf posters on pressure injury stages
National Pressure Injury Advisory Panel (NPIAP)

Quick reference guide: Prevention and treatment of pressure ulcers (10th ed.)
European Pressure Ulcer Advisory Panel