skip to main content

Sacral pressure injury in severe frailty — SCE Geriatric Medicine MCQ

Instant feedback + full explanation. One question, done properly.

ModerateTissue viabilitySacral pressure injury in severe frailtySCE Geriatric Medicine

An 87-year-old woman with advanced frailty is admitted after a fall. She has a sacral pressure injury category 2, albumin 27 g/L and faecal incontinence. She lies on a standard mattress and waits for two staff before repositioning. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Institute pressure redistribution, repositioning plan, skin care, nutrition review and continence management

Pressure injury management requires offloading, pressure redistribution surfaces, repositioning, moisture control, nutrition and treatment of infection when present. A category 2 pressure injury without cellulitis does not require systemic antibiotics. Fluid restriction risks dehydration and delirium. The pearl is that pressure ulcer care is a whole-person frailty intervention, not just a dressing choice.

Reference: NICE CG179; NICE nutrition support guidance