11/25/2025
Pressure injuries rarely appear all at once. They develop slowly as prolonged pressure limits microcirculation in high-risk areas such as the sacrum, hips, and heels. Prevention depends on understanding why skin breaks down and monitoring the early physiologic changes that signal rising risk.
The T.I.M.E.S. model provides a structured clinical framework for evaluating skin integrity and identifying problems before an ulcer forms:
• Tissue: Offload pressure routinely to maintain oxygen delivery to vulnerable tissue. Even short periods of unrelieved pressure can trigger early ischemia.
• Infection/Inflammation: Redness, warmth, new pain, odor, or increased drainage indicate local inflammation or bacterial imbalance—both of which accelerate breakdown if not addressed.
• Moisture: Sweat, incontinence, or wound fluid softens skin and increases friction injury. Keeping the area clean, dry, and protected preserves the barrier function.
• Edge: Changes in texture—tight, shiny, boggy, or firm edges—are early biomechanical warnings that skin is beginning to fail under pressure.
• Surrounding Skin: Fragile, dry, irritated, or inflamed skin is more susceptible to friction, shear, and moisture damage.
When these warning signs are caught early, most pressure injuries can be prevented—or reversed before deeper tissue is involved.
Windy City Wound Care provides advanced in-home wound expertise to help patients maintain skin health, prevent complications, and receive timely intervention where it matters most: in the home.
📍 Serving Cook, DuPage, Lake, Kane, Will, McHenry, Kendall, Kankakee & Winnebago Counties
🌐 windycitywoundcare.com | 📠 Fax referrals: 844-333-1773
Or submit new referral / patient on our website.