In addition to the regular washing, any portion of the patient’s body that becomes accidentally soiled must be at once cleansed; and whenever the confinement to bed becomes lengthy, the back and shoulders should be washed every day with warm water and soap, thoroughly dried, and lightly dusted over with finely powdered starch. The patient must also be prevented from remaining too long in one position; and if too weak to move himself, it will be part of the nurse’s care to turn him from side to side every three or four hours. Where this is impracticable, pressure must be relieved by the use of cushions, those with a hole in the middle being most useful for the purpose. If these precautions are not taken, the most prominent bones, exercising undue pressure on soft parts, will cause them to give way, the skin will become tender and inflamed, and if not stopped in time, a painful wound, difficult to relieve or cure, will be the result. I have known cases where these wounds have caused infinitely more distress and pain than the patient’s actual disease; and yet, with few exceptions, it is only a question of care and attention. So true is this, that a trained nurse looks upon such wounds as a disgrace, and is constantly on her guard against them; but the inexperienced nurse neglects this necessary watchfulness, simply through ignorance of the danger to be avoided. But forewarned should be forearmed; and by taking care to avoid dirt, pressure, and creases in the bedding, even the most inexperienced stand a good chance of success in this most troublesome part of nursing. At the same time, if, in spite of care, any portion of the skin reddens or becomes sensitive, the doctor should at once be informed of the fact, for this is one of the best examples of the old saying, ‘Prevention is better than cure,’ and it is too late to cry out when the mischief is done.