
When a serious pressure ulcer develops, questions often focus on timing: when risk was identified, what prevention steps were planned, what was delivered day to day, and when early signs were recognised. Records and timelines help organise this information. This page provides general, factual guidance on the types of documents that may be relevant and how they fit together.
A timeline is a chronological list of key events. It may include admission dates, mobility changes, notes about pain or discomfort, skin observations, changes in care plans, and any escalations. Even a basic timeline can help highlight gaps, inconsistencies, and delays in review.
Risk assessments record whether a person is considered at higher risk and what factors contribute to that risk. Care plans are meant to translate risk into practical actions, such as repositioning frequency, support surfaces, skin checks, and monitoring of nutrition and hydration. Where risk changes, the plan should usually reflect that change.
Turning charts are often used to record repositioning. They can show timing across shifts and whether turns were completed, delayed, or missed. Where a person refuses repositioning or cannot tolerate a position, notes may explain what alternatives were offered and whether the plan was reviewed.
Skin check notes may include redness or warmth that does not fade when pressed, tenderness, swelling, or changes in texture. In darker skin tones, changes can be less obvious, so pain, heat, firmness and swelling can be important. Timely documentation can help show whether early signs were recognised and whether escalation followed.
Escalation might include a clinical review, changes to the care plan, referral to tissue viability services, or adjustments to pressure relief equipment. Records may help show whether escalation happened promptly or only after damage progressed.
Where appropriate, dated photos and family notes can help support a timeline. Photos should be handled sensitively and stored securely. Notes are often most useful when they record dates, observations, and who was told about concerns.
In many contexts, independent clinical experts compare what should have happened for a person of that risk level with what records show was done. They may also consider whether earlier action was likely to have changed the outcome. This is why clear records and timing can matter.
For a broader explanation of pressure sore prevention and how concerns are assessed in the UK, see: pressure sores negligence claims (UK) hub.
This page is general information and does not provide medical or legal advice.
Previous: What an inquest can clarify in serious care concerns