Condition form.MD was notified and got new orders for treatments. Responsible party, supervisor and dietician were all notified by registered nurse. Skin sheet and treatment orders care plan were made by registered nurse. Initial treatment done by registered nurse according to MD’s order. RN approached the BSN for nursing care for same patient. BSN assessed the patient and checked the ability to move of the patient. The BSN assessed the nutrition status as well as the incontinence care for bowel and bladder. The BSN then proceeded to assess the mattress, compared the skin sheet on admission time and the present skin sheet. The BSN checked the history of preexisting chronic disease .The BSN assessed stage pressure observation measurement, the condition of wound, color, odor, exudate, condition of surrounding tissue. Obtained wound culture if indicated and consult the dietician for high calorie and high protein diet. BSN requested MD to prescribe supplements for wound healing. BSN made care plan for patient. The BSN made the schedule for nursing staff to turning and repositioning to patient for every two hours .The BSN followed-up for treatment orders and