Paralysed individuals with sensory impairment or loss are at high risk of developing pressure sores. However most paraplegic patients do know to avoid these sores. It is important to identify the precipitating cause (such as a bad transfer, lack of carer, urinary infection, a faulty cushion, extended holiday etc). Inexpert management in health service institutions not un-commonly cause pressure sores.
Dead and devitalised tissue should be removed by conservative and limited desloughing.
Nursing care should concentrate on avoiding pressure over the sore with appropriate mattresses and turns. Nutritional supplements may be necessary. Blood transfusion is often needed. Aggressive/complicated plastic surgical procedures to cover an anaesthetic skin should not be made without considering the possibility of necrosis of the flap or recurrence of a sore.