Which symptom indicates possible skin breakdown in a resident?

• A. Tenderness in a red or sore area
• B. Itchy skin with no redness
• C. Smooth skin over pressure points
• D. Normal warmth

Answer: (A)

Tenderness in a red or sore area signals tissue already being stressed by pressure, which can lead to skin breakdown. When pressure reduces blood flow to a spot, the skin can become inflamed and painful before a visible sore develops. This targeted, painful redness is a more reliable warning sign than itching without redness, which points to dryness or irritation; smooth skin over a pressure point suggests normal skin; and warmth alone isn’t a definitive indicator of breakdown. So, that localized tenderness in a reddened area is the best cue to act promptly—reposition the resident, inspect the area, keep the skin clean and dry, and notify the appropriate supervisor.