In a care plan for a patient with a coccyx pressure ulcer, which component helps provide comfort?

• A. Repositioning the patient every 90 minutes
• B. Cleaning and massaging around the affected area
• C. Elevating the head of the patient’s bed to 30 degrees
• D. Applying a moisture barrier ointment over the ulcer

Answer: (D)

Protecting the skin from moisture and irritants is essential for comfort in a coccyx pressure ulcer. A moisture barrier ointment forms a protective layer over the ulcer and surrounding skin, shielding it from urine, stool, wound drainage, and sweat. This reduces maceration and friction, eases pain, and helps maintain a stable healing environment, directly contributing to the patient’s comfort.

Repositioning helps prevent further tissue damage by relieving pressure, but it doesn’t address moisture exposure or the current skin irritation as directly. Elevating the head of the bed can increase coccygeal pressure and may worsen discomfort. Cleaning is important, but massaging around the area is not recommended and can cause additional tissue damage or pain; the barrier ointment specifically provides protective comfort for the ulcer.