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These are ulcers (sores) caused by prolonged pressure on the skin. The most susceptible places are areas with prominent bones or cartilage. Usually, when a patient is on prolonged bed rest due to illness or paralysis, he is likely to exert pressure over a bony site. Here, friction develops when the patient moves around, causing moisture to build up on the skin. The elderly, who tend to have thin skin, poor circulation, and suffer from incontinence, Dementia, low body weight, and Malnutrition, are especially at risk. The ulcers are divided into 4 stages, depending on the depth and size (stage I is the most superficial, stage IV the deepest).
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