In the literature review, certain aspects of the subject are discussed. Most literature has identified that the important part is the need for periodic reassessment of pressure ulcers and the pressure ulcer nursing care plan should be mentioned. The general goals are for the patient with a pressure ulcer to reduce or eliminate the factors that lead to pressure ulcers; will have healing of the pressure sore; and not develop an infection in the pressure area (Guy, 2012). Kaitani et al. (2010) clearly show that the majority of patients admitted to a nursing home should be assessed, regardless of age, gender or weight, and that the results should be documented. Each patient will then be assigned a date for regular assessment (Kaitani et al. 2010). Kaitani et al. (2010) also highlighted that nursing assessment is a dynamic and ongoing process involving the synthesis of information from various sources including underlying knowledge, prior experience and specialist knowledge, recognition of important indicators and knowledge of the patient. Meanwhile, many aspects need to be evaluated in pressure ulcer prevention, such as nursing assessment of nutrition, wound assessment, risk assessment, and quality of life assessment. Immobility, altered consciousness, age and weight (BMI) are important risk factors for pressure ulcers. Factors identified included altered level of consciousness, altered nutritional intake, fecal incontinence, and fractures (Kaitani et al. 2010). Kwong et al. (2009) summarized risk assessment in nursing practice in detail. The assessment is context specific and combines knowledge of key risk factors with the patient's situation (Kwong et al. 2009). The literature discussed is important as...... middle of paper ...... act ethically, thereby undermining their own authority. Fowler et al (2007) identify listening skills and encouraging participation in care motivate nurses to actively support changes in patient care. Robison, Curry, and Gruman (2007) remind practitioners that participation requires communication skills that are not universally possessed and therefore nurses must be flexible in their approach to championing the participation of others. Using these concepts, the registered nurse should always have established a relationship with caregivers, praising them for the care they provide, promoting partnership in care while emphasizing the importance of the care plan. The Partners in Caregiving in a Special Care Environment program is an evidence-based intervention that allows these partnerships to grow and thrive, resulting in improved experiences for residents, families and staff..