Some aspects of the topic are covered in the literature review. Most of the literature has identified that the important part is the need for periodic reassessment for pressure ulcers and that the pressure ulcer nursing care plan should be mentioned. The overall goals are for the patient with a pressure ulcer to reduce or eliminate the factors that lead to pressure ulcers; will have pressure ulcer healing; and not develop an infection in the pressure area (Guy, 2012). Kaitani et al. (2010) clearly show that most patients admitted to a nursing home should be assessed, regardless of their age, gender or weight, and the results documented. Each patient will then be assigned a date for regular assessment (Kaitani et al. 2010). Kaitani et al. (2010) also emphasized that nursing assessment is a dynamic and ongoing process that involves the synthesis of information from a variety of sources, including background knowledge, prior experience and specialty-based knowledge, recognition of important indicators, and knowledge of patient. Meanwhile, many aspects should be evaluated in pressure ulcer prevention, such as nursing assessment of nutrition, wound assessment, risk assessment and quality of life assessment. Immobility, impaired consciousness, increased age and weight (BMI) are important risk factors for pressure ulcers. Factors identified included an altered level of consciousness, reduced 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 circumstances (Kwong et al. 2009). The literature discussed is important as... middle of paper... behaving ethically, thereby undermining one's authority. Fowler et al (2007) identify listening skills and encouragement of participation in care that motivates nurses to actively support changes in patient care. Robison, Curry, and Gruman (2007) remind professionals that participation requires communication skills that are not universally possessed, so nurses must be flexible in their approach to supporting the participation of others. Using these concepts, the professional nurse should always build rapport with caregivers, praising them for the care they provide, promoting collaboration in care, and 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 develop and thrive, resulting in better experiences for residents, families and staff.