Which action provides comfort in the care plan for a coccyx pressure ulcer?

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

Answer: (D)

Protecting skin from moisture and irritation is key to comfort with a coccyx pressure ulcer. A moisture barrier ointment creates a protective layer on the surrounding skin, shielding it from urine, sweat, and wound drainage. This reduces maceration and irritation, lowers pain, and supports a more comfortable healing environment.

Repositioning helps relieve pressure, but the specific cadence isn’t the direct comfort measure in this context, and elevating the head of the bed can increase pressure and shear on the coccyx, potentially worsening discomfort. Cleaning around the area is good hygiene, but massaging over or around an ulcer can damage tissue and cause more pain. So, applying a moisture barrier over the ulcer directly addresses comfort by protecting the skin and managing moisture.