Preventing the development of heel pressure ulcers
To improve your knowledge of the causes and risk factors associated with heel pressure ulcer development
To understand the various elements of an effective risk assessment for pressure ulcers
To provide effective patient care in the prevention of pressure ulcers, based on the latest clinical evidence and research
The heel is a common site for pressure ulcer development, particularly in people who are supine or semi-recumbent because of immobility. There is little protective subcutaneous tissue and no muscle or fascia within the heel, which means that it is vulnerable to pressure, friction and shear forces. Heel pressure ulceration remains a clinical challenge for nurses and the wider healthcare team, as well as a cause of pain and physical debilitation for the patient. This article examines the risk factors for heel pressure ulceration, and details patient assessment and specific measures that can be undertaken to prevent the development of heel pressure ulcers.