Surgical Options for Advanced Pressure Injuries

Advanced pressure injuries (PI), the debilitating consequence of prolonged pressure on the skin, are devastating wounds that are commonly refractory to treatment and are a source of significant patient morbidity and monetary strain on the healthcare system. This article outlines the fundamental principles for the conservative management of PIs, emphasizing risk factor mitigation, patient optimization, and preventive strategies. In addition, the article explores different surgical interventions for cases where PIs have progressed beyond conservative treatment options. GENERAL PURPOSE: To demonstrate knowledge of the evidence-based fundamental measures and surgical options to manage advanced pressure injuries (PIs). JOURNAL/aswca/04.03/00129334-202508000-00001/figure1/v/2025-07-18T083052Z/r/image-jpeg LEARNING OBJECTIVES/OUTCOMES: After participating in this educational activity, the participant will 1. Identify factors that place a patient at risk for PI. 2. Differentiate between the various stages and types of PI. 3. Apply evidence-based management strategies to treat patients with PI.