[Difficulty of the pressure ulcer care at home--from a doctor's point of view]

The early finding and prevention of the pressure ulcers is very important both in hospital and at home. But it is difficult to find pressure ulcer in earlier stage at home. Ordinary, the treatment would start after the pressure ulcers got progressed or pneumonia was coming down. The most important solution must be an education to the family and care worker. So, I started the regional educational meeting since 2002. Nutritional improvement of the patient is also important for the pressure ulcer treatment at home. For doing so, assessing the nutritional state by a registered dietitian is especially important. Although homecare specialists from different occupations should be involved for the treatment of a pressure ulcer, we must keep a close cooperation each other to lighten the burden of the family.