Provider approved by the California board of Registered Nursing.

Provider #CEP 14477

Perspectives is published quarterly by Saxe Healthcare Communications. Please direct your correspondence to:


Saxe Healthcare Communications

P.O. Box 1282

Burlington, VT 05402


In order to receive your free CE, click on the title above, and download the article. Once you have read the article, you may go to and take your post-test. Upon successful completion, you may download your certificate immediately

Bariatric Pressure Injury:

Skin and Wound care in the Home Care Setting

By Vicki Haugen RN, BAN, MPH, CWOCN, OCN



Obesity is an increasingly serious health care issue and health risk in America with more than one third of Americans considered obese (NIH/CDC). An even greater health care concern is the increasing rate of morbid obesity (the bariatric patient) as well as the increasing rate of super obesity. According to the CDC a BMI (body mass index) of >40 is morbid obesity and a BMI >50 is now considered super obesity. The rate of persons with a BMI greater than 40 or 50 is growing in prevalence.1

Skin injury to bariatric patients can involve a combination of factors such as pressure injury, moisture or incontinence associated injury, and alteration in skin perfusion. Unique needs in the bariatric population involve problems such as pressure injury from catheters buried deep in skin folds or sides of wheel chairs or other furniture that are too small. Due to their body shape, any point of contact such as the fleshy gluteal part of the buttocks is often at risk for pressure injury, rather than a bony prominence.