Stroke Training and Awareness Resources (STARs)

A few days later

A few days later you visit Mr Winters and you notice that his sacrum has become red and painful. What advice could each of the following colleagues offer you on Mr Winter’s skin problems?

It is important to remember that some roles within the multi disciplinary team may overlap and that we all have a responsibility to ensure that Mr Winters and others like him do not develop skin damage or pressure sores.

Speech and Language Therapist

If Mr Winters has a swallowing problem the Speech and Language Therapist may offer advice on special diets so that he does not become malnourished and dehydrated causing further skin damage.


The dietitian may be able to offer advice on Mr Winter’s nutritional requirements to promote skin healing and help prevent further damage.

Occupational Therapist

The occupational therapist may be able to offer advice on specialist pressure relieving equipment and aids and adaptations for example aids to assist Mr Winter’s in moving about in his bed to help prevent further damage.


The physiotherapist may be able to offer advice on the correct method of moving and handling Mr Winters and appropriate positioning for him to help prevent further damage to his skin.


The nurse may offer advice about using pressure assessment charts, skin care and pressure relieving equipment such as mattresses to promote skin healing and prevent further damage. There are also nurses, often called Tissue Viability Nurses who specialise in skin care.


The doctor may be able to offer advice on underlying conditions such as infections which may cause further skin damage.

Page last reviewed: 29 Jan 2020