MS – Pressure Ulcer Prevention — SCE Neurology MCQ

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EasyNeurorehabilitationMS – Pressure Ulcer PreventionSCE Neurology

A 60-year-old man with chronic MS (EDSS 7.5) develops pressure ulcers. He is wheelchair-bound with reduced sensation below T10. What is the key prevention strategy?

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Correct answer: A — Regular repositioning (every 2 hours), appropriate pressure-relieving equipment (cushions, mattress), skin inspection, nutritional optimisation, and moisture management — prevention is the cornerstone of management

Pressure ulcer prevention is critical in immobile MS patients. NICE CG179 recommends: (1) risk assessment (Waterlow or Braden scale), (2) regular repositioning at least every 2 hours (more frequently if high-risk), (3) appropriate pressure-relieving surfaces (specialist mattresses, wheelchair cushions — e.g. ROHO, Jay), (4) daily skin inspection (particularly over bony prominences), (5) nutritional optimisation (adequate protein, calories, vitamins C and D), (6) moisture management (continence management), (7) patient and carer education. Prevention is far more effective than treating established ulcers. A: Dressings are for treatment, not prevention. C: Antibiotics are for infected ulcers. D: Prevention is the priority. E: Preventable with appropriate care.

Reference: NICE CG179 Pressure Ulcers; NICE NG100 MS