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May 7, 2003

Long-term Cognitive Function in Very Low-Birth-Weight Infants

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2003;289(17):2209-2211. doi:10.1001/jama.289.17.2209-a

In Reply: There remains a dearth of studies investigating pain and pressure ulcers. The 2 studies noted by Ms Dallam substantiate what is commonly known in the wound care community, that pressure ulcers can be painful. Severe pain within or surrounding the ulcer may indicate the presence of infection or vascular insufficiency. Thus, health professionals should assess for pain during routine dressing changes and debridements. Moreover, new accreditation standards require that a patient's pain status should be assessed regularly and appropriate pain relief should be administered.1