People with sacral or heel ulcers are often those bed bound who refuse, cannot move around post surgery or immobility, to give the area relief long enough to heal. This is common in hospital, nursing homes and at home. It is important to get medical advice when skin pressure areas may actually be microvascular damage from covid itself not pressure, especially if the person is not presenting to hospital.

Here is where pressure care is helpful but no guarantees for complete healing in the very old frail immobile and obese person.

Beds with pressure relieving mattresses especially air mattresses are helpful, the best being beds where the foot end can be lowered and bed tilted back.

In a world where masks or N95 masks are the norm, pressure injuries occur especially around the nose, cheek and behind ears.

Besides petroleum jelly very thin transparent dressings or hydrocolloid transparent is helpful, however if working in a hospital and you are fit tested ask what your hospital policy is. A transparent dressing like comfeel is wonderful cut in a strip for behind ears. Change daily.It is important that pressure care in started as a prophylactic not once the skin has gone red, as this will not heal quickly if the skin is broken and you will be off work.

Prevention is better than cure