On November 16th, 2017, the National Pressure Ulcer Advisory Panel (NPUAP) created an initiative to bring awareness to our communities by announcing a “celebration” of World Wide Pressure Injury Prevention Day. Celebration may not be the best word to describe this day; however, a simple increase in attention and renewed sense of urgency to lessen the chance of injury will be a move in the right direction. The logo created this year was a stop sign in hopes of bringing attention to this significant issue that is sorely in need of further education and awareness.


The following are some staggering figures regarding the state of pressure ulcer related injuries:

  • 2.5 million individuals in the US suffer with pressure injuries annually
  • Average US comprehensive cost of $9.1 billion to $11.6 billion per year for treatment
  • General average for Stage 3 pressure wound treatment can cost $5,900 to $14,840 (or more)
  • General average for Stage 4 pressure wound treatment can cost $18,730 and $21,410 (or more)
  • Hospital reimbursement is discontinued or denied for any charges related to hospital-acquired conditions, this included pressure injuries as one of the conditions.
  • Additional charges due to a pressure wound can be up to $700,000 if patient is hospitalized
  • Lawsuits regarding pressure wounds are increasing and can average up to $250,000

It is estimated that up to 60,000 Americans die annually as a direct result of pressure wound related complications.

Day-to-day management of their wound can also take a significant toll in many aspects of the patient’s emotional and mental quality of life which further impacts their wound healing. Sadly, the patients chronic wound and management of that wound can also take a toll on family and friends around them as they support and care for the patient. Many people may have encountered people throughout their life who have suffered with this unfortunate disease. As a wound care nurse, I see all these facts and figures listed above on a first-hand basis. I generally see patients after the wound has occurred or skin damage has happened. In a review of 76,435 pressure wound patients, the most common area for pressure wounds was the patient’s coccygeal region (47%), 17% were located on the buttock, 14% on the heel, and 13% were located on other bony prominences. When assessing patients, I begin not only with a wound assessment, but a much more detailed assessment, including nutrition, turning and positioning, moisture, friction and sheering, and comorbidities. Lastly, we factor in any other non-wound related patient specific information we need to review.

Each patient is different and requires individualized treatment modalities to meet their specific needs.

The attention to each patients’ wound is crucial and can be very time consuming. That is why the World Wide Pressure Injury Prevention Day was so refreshing. I spent my time at a level 1 trauma center where the wound care nurses and a team of chosen representatives and administration conducted a prevalence study on every patient in the hospital. They looked at every bony prominence, assessed every patient’s skin, and took their time to also review prevention, treatment, and make assessments of each patient admitted to their hospital. These staff members are such a great testament in making a commitment to pursue better patient outcomes. It was inspiring to see this commitment and I hope that sharing this experience can be my small part of spreading the importance of World Wide Pressure Injury Prevention Day.


PRUventor™II Heel 
Off-loading Device

In pursuit of better patient outcomes, my clinical assessment regularly includes documenting products used, this also means I get to utilize many different types of products on the market.  DeRoyal has products available to help with prevention (or even treatment if that is needed) for different pressure risk locations on the body. From heel off-loading bootsprotection boots and elbows protectorscushion bed padswheelchair cushionspatient positioners, to advanced wound care products for those wounds that need treatment as well as protection.

Please contact our Customer Service representatives at 1-800 DEROYAL for questions or be directed to a sales representative in your area.



Multidex Maltodextrin Wound Dressing

Multidex Maltodextrin Wound Dressing



Theresa Alvarez, RN, BSN, CWOCN

Theresa is the global wound care clinical specialist for DeRoyal. Her primary roles are to provide evidence and knowledge based support for the DeRoyal advanced wound care, burn care, and negative pressure wound therapy product lines. She is a clinical support for our sales teams and customers with assisting with product training, trials, implementations, and general assistance when requested.