Pressure Injuries

  • Yasmin S. MeahEmail author
  • Fred C. Ko
  • Elizabeth Arrabito


Home-based medical care providers manage pressure injuries by creating a holistic care plan based on patient preferences and capabilities of an interdisciplinary care team, including caregivers, to provide the necessary day-to-day support of a patient’s needs. The framework of TIME (tissue, inflammation/infection, moisture, edge/epithelialization) guides interventions to optimize wound healing. Home-based medical care providers must evaluate the capacity of caregivers to engage with and help administer the care plan. Social workers and care managers can help implement coordinated care plans and address social and economic burdens. In some cases, a temporary admission to a skilled nursing facility may be necessary.


Wound care Home-based medical care Interdisciplinary team care Pressure ulcers Pressure injuries House call Homebound 


  1. 1.
    McInnes E, Dumville JC, Jammali-Blasi A, Bell-Syer SE. Support surfaces for treating pressure ulcers. Cochrane Database Syst Rev. 2011;(12):CD009490.Google Scholar
  2. 2.
    Orgill D, Bayer L. Negative pressure wound therapy: past, present and future. Int Wound J. 2013;10:15–9.CrossRefGoogle Scholar
  3. 3.
    Rich SE, Margolis D, Shardell M, et al. Frequent manual repositioning and incidence of pressure ulcers among bedbound elderly hip fracture patients. Wound Repair Regen. 2011;19(1):10–8.CrossRefGoogle Scholar
  4. 4.
    Schultz GS, Sibbald RG, Falanga V, et al. Wound bed preparation: a systematic approach to wound management. Wound Repair Regen. 2003;11:S1–S28.CrossRefGoogle Scholar
  5. 5.
    Alvarez OM, Kalinski C, Nusbaum J, et al. Incorporating wound healing strategies to improve palliation (symptom management) in patients with chronic wounds. J Pall Med. 2007;10(5):1161–89.CrossRefGoogle Scholar
  6. 6.
    Meah YS, Gliatto PM, Ko FC, Skovran D. Wound care in home-based settings. In: Hayashi JL, Leff B, editors. Geriatric home-based medical care: principles and practice. 1st ed. Switzerland: Springer; 2016. p. 195–236.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Yasmin S. Meah
    • 1
    Email author
  • Fred C. Ko
    • 2
  • Elizabeth Arrabito
    • 3
  1. 1.Departments of Medicine, Medical Education, Geriatrics and Palliative MedicineIcahn School of Medicine at Mount SinaiNew YorkUSA
  2. 2.Departments of Geriatrics and Palliative Medicine and MedicineIcahn School of Medicine at Mount SinaiNew YorkUSA
  3. 3.Departments of Medical Utilization and Care ManagementHealthfirst, Inc.New YorkUSA

Personalised recommendations