How to Protect Heels From Pressure Ulcers

Pressure ulcers occur when proper circulation to a part of the body is inhibited. This results in skin damage that can range from mild irritation to a deep, open wound. The heel is one of the most commonly affected areas. Common causes include paralysis and being bedridden, both of which affect your ability to change positions frequently. You can do several things to prevent pressure ulcers on your heels and other parts of the body.

Instructions

• 1

  Change positions frequently. As little as a few hours of not moving can encourage the formation of pressure ulcers. If you are in a wheelchair, change positions every 15 minutes. If you are bedridden, aim for at least every couple of hours, even during the night. If you cannot move yourself, ask a family member or caregiver to help you.

• 2

  Ask a physical therapist for guidance on proper positioning. Mayo Clinic offers the following general guidelines. Use foam pillows or padding that will support the middle of the calf to the ankle. Do not put support under your knees; this can interfere with proper circulation. Reduce your risk of friction by keeping the head of your bed elevated at no more than 30 degrees; if you need to elevate yourself to eat, use pillows and other devices to prop yourself instead of raising your bed. Keep your knees and ankles from rubbing against one another; place a pillow or wedge between them.

• 3

  Reduce pressure with special support devices, mattresses and wheelchairs. This will encourage normal blood flow. These types of items come in a large variety, and prices vary greatly. Talk to your doctor about what is most appropriate for you.

• 4

  Pay close attention to your skin and inspect it every day. Pressure sores can progress very quickly, and catching them early is very important. If you notice any red areas, tend to them immediately. Wash them with soap and water, dry completely, apply a protective dressing, and protect them from pressure. See your doctor if you notice a sore that is draining pus or other fluids, has a bad smell, or has any other sign of possible infection.

• 5

  Encourage healthy skin with proper nutrition. You need adequate calories, particularly healthy proteins. Consider working with a nutritionist who can put together a meal plan that will provide proper nutrition. Drink plenty of water. Your doctor might recommend certain supplements; take as directed.

• 6

  Keep your skin clean and dry.

• 7

  Do not massage your heels or other bony parts of the body; the pressure can encourage the formation of sores.

• 8

  Do not smoke; it interferes with proper circulation and damages the skin.

• 9

  Work with a physical therapist to design an exercise plan appropriate for your condition. Exercise improves circulation and promotes overall health.