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Pressure Ulcer care at Merina Medical Centre

Condition guide

Pressure Ulcer

Skin and tissue damage caused by prolonged pressure, often in people with limited mobility or reduced sensation.

Redness that does not fade, broken skin, a dark pressure area or an open wound needs prompt assessment—especially after illness, surgery or reduced mobility.

Understanding the concern

The visible symptom is only part of the clinical picture.

Skin and tissue damage caused by prolonged pressure, often in people with limited mobility or reduced sensation. Pressure ulcers can form when one area of skin is under continuous load and has too little opportunity to recover. Moisture, poor nutrition, reduced mobility and reduced sensation can add to the risk.

Pressure Ulcer supporting clinical detail at Merina Medical Centre

Clinical context

Assessment considers the wound, surrounding skin and the factors affecting healing.

Symptoms and signs

Small changes deserve attention.

01

Redness that does not fade after pressure is relieved

02

Dark, purple or broken skin

03

Pain or tenderness over a bony area

04

An open wound in someone with reduced mobility

Causes and risk factors

Several factors can come together.

Pressure ulcers develop when skin and tissue remain under pressure for too long. Reduced mobility, moisture, fragile skin and poor nutrition can increase vulnerability.

Limited mobility after illness or surgery

Reduced sensation

Incontinence or moisture

Poor nutrition, frailty or previous pressure injury

When to seek prompt care

Do not wait for symptoms to become severe.

Redness that does not fade, broken skin, a dark pressure area or an open wound needs prompt assessment—especially after illness, surgery or reduced mobility.

MMC evaluation

Assessment follows the whole clinical picture.

Assessment identifies wound stage, location, depth, infection risk, nutrition and the pressure or positioning factors that must be changed.

Relevant care pathways

Care is matched to the condition and the person.

01

Redistribute pressure: Positioning, support surfaces and mobility planning are selected for the individual.

02

Treat the wound: Dressings and skin protection are based on wound assessment.

03

Support the person: Nutrition, hydration, comfort and carer education are part of prevention and recovery.

Protect your feet between reviews.

Keep changes protected, avoid unadvised self-treatment and seek advice if symptoms worsen or do not improve.

The next step should be clear.

A timely assessment helps match care to the diagnosis, risk and practical needs of the person.

Common questions

When should I seek urgent care?+

Seek prompt medical advice for spreading redness, a new or worsening wound, discharge, fever, black or blue skin, sudden swelling, or a foot that becomes hot, cold or painful. If you feel very unwell, seek emergency care.

Can I treat this at home?+

Avoid cutting, draining, paring or applying unadvised products. The safest next step depends on your skin health, circulation, sensation and medical history.

What should I bring to my appointment?+

Bring recent reports, your medication list, photographs or details of changes over time, and the footwear you use most often when relevant.

Continue the care journey

The right next step depends on the clinical picture.

Explore the related pathways that may be discussed after assessment.

Make an appointment

A changing pressure ulcer deserves a careful clinical review.

Our team can help you understand what needs assessment and what information to bring. Diagnosis and treatment depend on an in-person review.

Specialist assessmentClear next stepsIndividual care planning
Dr. A. Nirupan Chakkaravarthy, Consultant Podiatrist and Diabetic Foot Care Specialist

Dr. A. Nirupan Chakkaravarthy

Consultant Podiatrist · Limb Salvage Specialist

This guide is for general education and does not replace an in-person assessment.