5cm Heel Pressure Injury Improved in Two Weeks

After a period of hospitalization, Mr. Yeung noticed abnormal changes on his heel. The area first appeared dark red, then developed purplish discoloration and blistering. Concerned about deterioration, his family contacted YDCare for an urgent home-based assessment.

Before Treatment: Presence of blistering and localized bruising at the affected site.  

Initial Assessment: Deep Tissue Pressure Injury (DTPI)

On assessment, YDCare’s specialist wound nurse identified the condition as a Deep Tissue Pressure Injury (DTPI)—a pressure-related injury beneath the skin that can progress rapidly without timely offloading and protection. Given the sustained pressure on the heel, the risk of skin breakdown was high if not managed promptly.

Targeted Care Plan

·        Specialist wound care: Cleansing and appropriate blister management while protecting the fragile surrounding skin.

·        Pressure redistribution (offloading): Reviewing daily positioning habits and guiding the family on effective heel offloading and pressure-relief techniques.

·        Caregiver education: Teaching key points for daily monitoring and skin protection to reduce recurrence and complications.

With consistent care and effective offloading, the wound improved markedly. Within two weeks, the blistering and discoloration largely resolved, and new skin began to form, indicating a stable recovery trajectory.

Mid-treatment: Reduction in exudate and gradual skin restoration.  

Two weeks later: Significant reduction in redness and swelling, with new skin gradually forming.

Pressure injuries don’t occur only over the sacrum or back—bony prominences such as the heels are also high-risk areas. Early assessment, proper protection, and effective offloading are essential to prevent deterioration. If you notice persistent redness, blistering, or skin damage, contact YDCare’s specialist wound team for prompt assessment.