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How to Prevent Pressure Ulcers
Spina bifida comes with a risk of developing pressure ulcers, also called pressure sores. In a recent survey, SHINE found that pressure ulcers were the biggest reason for their members needing an unplanned hospital stay.
It’s much easier to prevent a pressure ulcer from developing than to treat one that has already developed. Here’s our basic introduction to pressure ulcers and how to prevent them before they become a problem.
What’s a pressure ulcer?
So what is a pressure ulcer and why do we need to watch out for them? A pressure ulcer is an area of skin which is damaged by something pressing or rubbing against it repeatedly. The skin cells can’t get enough oxygen and so they begin to die. Pressure ulcers can form on any area of the body, but they’re most commonly found on bony parts, such as the spine, hips and heels.

Why does spina bifida put me at risk of pressure ulcers?
Wheelchair users and people with continence management needs are at higher risk of getting a pressure ulcer. This is because a lot of time is spent in one position and because wet skin is more easily damaged. Sadly, people with spina bifida often face a lifelong struggle to prevent and manage pressure ulcers.
How can I prevent pressure ulcers?
It’s much easier to prevent a pressure ulcer from developing than to treat a pressure ulcer once you have it. The first sign of skin damage is redness. Check your skin every morning and night and see your GP if you find any redness that worries you. Don’t wait to see if it gets better because the longer you leave it, the harder it gets to heal. A skin check is a healthy and important habit to fit into your daily routine.
It’s even more important to do a skin check when you’re less mobile than usual, for example when recovering from illness. A balanced diet also reduces the risk of pressure ulcers so make sure you’re getting those fruit and veg!

Sometimes it’s very difficult to prevent pressure ulcers, so please don’t blame yourself. Make sure you know how to access help, such as a tissue viability nurse. If you feel unsure of where to go for help, then feel free to get in touch with SHASBAH. We have lots of experience in dealing with pressure ulcers and spina bifida in the Sheffield healthcare systems. Staff in hospitals or care homes should be aware of the risk of pressure ulcers.
What are the treatments for pressure ulcers?
If caught early, pressure ulcers can be treated at home. This may look like:
- Applying dressings
- Regularly changing position
- Specially designed mattresses or cushions
- Wound cleaning procedures
A severe pressure ulcer may need surgery to remove damaged tissue and close the wound. For more information on pressure ulcers, see the NHS webpage.