Mobility plays a critical role in maintaining skin integrity and overall health. At On Call Wound Care, we often see how prolonged sitting or lying down can contribute to deconditioning and significantly increase the risk of pressure ulcers—also known as bedsores or pressure injuries.

Pressure ulcers develop when constant pressure limits blood flow to the skin and underlying tissue. This most commonly occurs over bony areas such as the heels, sacrum, hips, and elbows. When a person remains in one position for too long—whether sitting in a chair or lying in bed—the skin does not receive the oxygen and nutrients it needs to stay healthy, which can lead to tissue breakdown.

Regular movement helps relieve pressure, improves circulation, maintains muscle strength, and supports overall function. Even small, frequent position changes can make a meaningful difference. Standing, walking, shifting weight in a chair, or performing gentle range-of-motion exercises all help reduce the risk of pressure injuries and physical decline.

There are medical conditions that limit mobility. Individuals living with paraplegia, Alzheimer’s dementia, severe multiple sclerosis, or other neurologic or chronic illnesses may not be able to move independently or recognize the need to reposition. In these situations, prevention becomes a shared responsibility among caregivers, family members, and healthcare professionals.

For those with limited mobility, it is essential to:

• Reposition in bed at least every two hours, or as recommended by a healthcare provider

• Perform regular weight shifts when seated

• Use pressure-relieving devices such as specialized mattresses, cushions, heel protectors, and positioning wedges

• Maintain good skin hygiene and monitor the skin daily for early signs of redness or breakdown

Even when full mobility is not possible, some movement is almost always better than none. Assisted turning, supported sitting, or guided exercises can help protect the skin and improve comfort and quality of life.

Preventing pressure ulcers is far easier—and far less painful—than treating them once they develop. Staying as mobile as possible and using appropriate support strategies are key steps in prevention. If you or a loved one is at risk, a wound care specialist can help create an individualized plan to protect the skin and promote healing.

At On Call Wound Care, we are committed to helping patients stay mobile, protected, and healing—one step and one turn at a time.