Pressure injuries typically develop when skin and underlying tissue are exposed to pressure, shear, or moisture for too long—most commonly for residents who are immobile or have limited sensation. What turns a “risk” into an injury is often a chain of missed opportunities:
- Repositioning not happening at the frequency the care plan requires
- Skin assessments not being done when early redness or warmth is first observed
- Moisture control gaps (incontinence, poor barrier protection, or inconsistent hygiene)
- Wound treatment that arrives late or doesn’t match the wound’s stage
In practice, the documentation should track these prevention steps closely. When records don’t line up with the wound timeline—or when family observations suggest the resident wasn’t checked as often as promised—those inconsistencies can be critical.


