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The authors rightly demand in their CME article that quality of life should be considered in patients with decubitus ulcers. For the quality of life of these patients, adequate analgesia is of particular importance.

It needs to be borne in mind that pain in patients with decubitus ulcers is often underrated or not recognized, owing to their underlying illness (for example, dementia, amyotrophic lateral sclerosis [ALS], waking coma). This is an intolerable situation for such patients.

To implement humane medical practice and to improve the quality of life in such patients, we therefore urgently recommend to publish guidelines on how to identify pain and how to provide adequate pain management in these cases.

DOI: 10.3238/arztebl.2010.0692a

Dr. med. Wolfgang Strecker

Litziger Hirtenpfad 7

56841 Traben-Trarbach

Dr.Strecker@gmx.de

1.
Anders J, Heinemann A, Leffmann C, Leutenegger M, Pröfener F, v Renteln-Kruse W: Decubitus ulcers: pathophysiology and primary prevention [Dekubitalgeschwüre – Pathophysiologie und Primärprävention]. Dtsch Arztebl Int 2010; 106(21): 371–82. VOLLTEXT
1.Anders J, Heinemann A, Leffmann C, Leutenegger M, Pröfener F, v Renteln-Kruse W: Decubitus ulcers: pathophysiology and primary prevention [Dekubitalgeschwüre – Pathophysiologie und Primärprävention]. Dtsch Arztebl Int 2010; 106(21): 371–82. VOLLTEXT