Bed Sores – The Importance of Monitoring and Preventing

It is extremely important for family members and caregivers to understand and practice bed sore prevention. Bed sores, also referred to as pressure ulcers or decubitus ulcers, can cause discomfort and lead to complications for seniors. Allcare Home Health Agency, Inc. has put together some valuable information and tips that every family caregiver, CNA and elderly home care aide should know about bed sores.

What Are Bed Sores?

Bed sores result from prolonged pressure on specific body areas, which damages skin and tissue. They typically develop in seniors with limited mobility or those who spend extended periods in one position. These painful sores occur when continuous pressure restricts blood flow to certain areas, leading to tissue damage and breakdown. The most common sites for bed sores are bony prominences such as heels, hips, tailbones, elbows, and shoulder blades.


Apart from causing extreme discomfort for seniors, untreated bed sores can lead to serious complications. In some cases, they can become infected, resulting in conditions like cellulitis or even sepsis, which is a life-threatening condition. Moreover, the healing process for bed sores is often slow in seniors due to reduced blood flow and can take weeks or months for them to fully heal.


Early signs of bed sores include:

  • Skin discoloration or redness
  • Areas of the skin that feel warm
  • Swelling
  • Tenderness or discomfort
  • Blisters
  • Open wounds.

Identifying Vulnerable Seniors

Monitoring is crucial especially for seniors who may have thin or fragile skin, poor circulation, or underlying conditions such as dementia, Alzheimer’s, diabetes, and cardiovascular disease. Caregivers should report any skin changes for expert assessments.


When it comes to treating bed sores in seniors, early detection is vital. By identifying the signs of bed sores at their earliest stages, caregivers can work with the senior’s medical team in taking prompt action to prevent further damage, promote healing, and provide comfort while reducing complications.

One key aspect of early detection is regular skin inspection. Caregivers should carefully examine vulnerable areas such as the back, heels, hips, and elbows for signs of redness or discoloration, which may be accompanied by a change in temperature in the affected areas.

If a potential bedsore is identified, immediate treatment should be initiated. This includes relieving pressure, using specialized cushions, maintaining clean and moisturized skin, and seeking medical intervention if necessary.

An Ounce of Prevention…

Preventing or dealing with existing bed sores can be challenging, but it is essential to ensure proper care and promote healing. Here are some preventive strategies caregivers and healthcare aides may find helpful:

  • Regular repositioning of patients. Encouraging seniors to change their position every two hours, especially those with limited mobility, helps relieve pressure on vulnerable areas. Healthcare aides, caregivers and CNAs should also ensure that bedding and clothing are smooth and free from wrinkles or folds that can create friction against the skin.
  • Maintaining proper hygiene. Caregivers should keep the seniors’ skin clean and dry at all times, as moisture can contribute to bed sore development.
  • Use of specialized cushions or mattresses designed to distribute pressure evenly can help prevent bed sores. These aids provide support and minimize pressure on bony prominences.
  • Good nutrition plays a significant role in preventing bed sores among seniors. Healthy nutrition also speeds up healing. Caregivers should ensure that seniors receive a balanced diet rich in protein, vitamins C and E, zinc, copper, iron, and other nutrients essential for healthy skin. Staying hydrated also helps.

Close monitoring and communication by family caregivers, CNAs and Home Health Aides is the prevention and treatment of bed sores as this ensures optimal care for our beloved seniors who rely on us daily. Contact us today to learn more about elderly home care in Raleigh.

Jaul, E., Barron, J., Rosenzweig, J.P., et al. (2018). An overview of co-morbidities and the development of pressure ulcers among older adults. BMC Geriatrics, 18, 305. National Institute on Aging (NIA). (n.d.). Skin Care and Aging. O’Flynn Medical. (2020, May 12). Seven Tips For Pressure Ulcer Prevention;. Mayo Clinic. (n.d.). Bedsores (pressure ulcers).