A localized area of tissue damage results from intense and/or prolonged pressure, shear forces, or a combination thereof. This damage often originates beneath the surface of the skin and may initially present as intact skin. It is characterized by damage to underlying soft tissue, including muscle, and can be difficult to detect in its early stages. For example, a person who has been immobile for an extended period may develop this condition on bony prominences like the sacrum or heels.
Understanding the nature of this type of tissue damage is crucial for effective prevention and treatment strategies. Early identification can mitigate the progression of the injury and prevent more serious complications, such as infection and extensive tissue loss. Historically, recognizing the specific characteristics of these injuries has led to improved care protocols and pressure redistribution techniques, ultimately enhancing patient outcomes and reducing healthcare costs.