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In Reply: There remains a dearth of studies investigating pain and pressure ulcers. The 2 studies noted by Ms Dallam substantiate what is commonly known in the wound care community, that pressure ulcers can be painful. Severe pain within or surrounding the ulcer may indicate the presence of infection or vascular insufficiency. Thus, health professionals should assess for pain during routine dressing changes and debridements. Moreover, new accreditation standards require that a patient's pain status should be assessed regularly and appropriate pain relief should be administered.¹

In response to Dr Fox, the optimal interval for respositioning the patient has not been established. More research is greatly needed to determine the optimal schedule for patients at various levels of risk for pressure ulcers. Current data suggest that a 2-hour interval is one standard strategy for preventing pressure ulcers.² The intent of a 2-hour "minimum" for turning the full body was suggested . . . [Full Text of this Article]

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