When should less aggressive treatment for pressure injuries (pressure ulcers) be considered?

Updated: Mar 26, 2020
  • Author: Christian N Kirman, MD; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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As a final note, some consideration should be given to the ethics of treating pressure injuries. For some individuals with pressure injuries, such as acutely hospitalized patients with a recoverable illness, aggressive treatment, as outlined in this article, is certainly indicated.

For other persons, however, such as chronically or terminally ill patients with long-standing or recurrent ulceration, aggressive treatment may not be in their best interests. In such instances, the wishes of the patient or the patient’s family should be weighed carefully. It may prove to be the case that the patient’s interests are better served by providing medical care and maintaining patient comfort than by instituting major invasive procedures.

In March 2015, the American College of Physicians (ACP) published clinical practice guidelines for risk assessment, prevention, and treatment of pressure ulcers (see Guidelines). [78, 79]

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