What area of the body is at high risk for skin breakdown?

The sacrum is a critical area of the body at high risk for skin breakdown, particularly in individuals who are immobile or spend extended periods in bed or seated. The sacral region is bony and lacks substantial muscle and soft tissue padding, making it more susceptible to pressure ulcers, often referred to as bedsores. When pressure is applied to the sacrum over time, alongside friction and moisture, the skin can become compromised, leading to breakdown.

Additionally, the sacrum is located at the base of the spine and bears weight when a person is lying down or sitting. This contributes to increased pressure, especially in individuals with limited mobility. In contrast, while the shoulders, elbows, and knees can also experience skin breakdown, they typically have more muscle and soft tissue that provide some cushioning and are less commonly associated with pressure ulcer development compared to the sacral area. Proper repositioning and skin care are vital in preventing skin breakdown, especially in the sacrum, to maintain the skin's integrity and overall health of individuals at risk.