What is your approach to the management of pressure ulcers in bedbound older adults who are community-dwelling?

Management of pressure ulcers in bedbound community-dwelling older adults centers on three pillars: Pressure off-loading, nutritional optimization, and stage-appropriate wound care, supported by an interdisciplinary approach that includes caregiver education.

Pressure Off-Loading

This is the single most critical intervention. The AAFP and EPUAP/NPIAP/PPPIA guidelines recommend:

• Repositioning at individualized intervals (historically every 2 hours, though frequency should be guided by clinical j...