Treatment
Pressure Injury Care
What Pressure Injuries Need
Pressure injuries form when sustained pressure on the skin and underlying tissue cuts off blood flow. They show up most often over bony areas — the tailbone, hips, heels, and back of the head — in patients who spend long stretches in bed or in a wheelchair. The damage often starts beneath the surface, which is why a small patch of redness can hide a much deeper problem.
These wounds get worse without consistent offloading. Wound care matters — but so does what happens between visits: repositioning, the right support surface, good nutrition, and daily skin checks. The most successful plans treat the wound and the routine around it at the same time.
Our Approach
How We Treat Pressure Injuries
Every visit starts with staging and careful documentation — measurement, photography, and notes on the surrounding skin and tissue. Consistent documentation matters: it's how we (and your other providers) tell whether the wound is moving in the right direction.
The wound care plan is built around what the injury needs: gentle debridement of dead tissue when indicated, dressings matched to the level of drainage, and infection control if cultures call for it.
Just as important is education for the patient and the caregivers — repositioning schedules, support surface recommendations, nutrition guidance, and what to watch for between visits. A great wound care plan that no one can maintain at home isn't the right plan. Care is delivered at our Albuquerque clinic for outpatients and at the bedside for patients in skilled nursing facilities, LTACHs, and home-health settings.
Stages We Treat
Care at Every Stage
Stage 1
Persistent redness on intact skin. Early intervention is the difference.
Stage 2
Partial-thickness skin loss. Targeted dressings and pressure relief.
Stage 3
Full-thickness skin loss. More involved wound care plans.
Stage 4
Deep tissue involvement. Coordinated care with appropriate specialists.
For Families & Caregivers
We Teach the People Who Are There Every Day
Most pressure injury healing happens between visits, in the hands of family members, caregivers, and home health aides. We make a point of teaching whoever is providing day-to-day care: how to reposition safely, what to look for during skin checks, how to read drainage on a dressing, and which changes are worth a phone call.
We also walk through support surface options, nutrition basics, and small changes to the daily routine that take pressure off vulnerable areas. Caregivers leave with a clear, written plan and direct contact information — never guessing about what to do next.
Meet Your Physician
Dr. Christopher Dominguez
Medical Director, Nexcell
Dr. Dominguez leads our wound care team in Albuquerque. He works closely with patients, primary care providers, and specialists across New Mexico to develop individualized treatment plans for chronic, diabetic, post-surgical, and pressure-related wounds.
FAQs
Common Questions
Pressure Injury care
Get your Pressure Injury evaluated by a surgeon.
Self-referral welcome. Most pressure Injury patients are seen within one week at our Albuquerque clinic — or at bedside through our partnering facilities.