This article looks at the importance of addressing pressure, shear and microclimate to prevent pressure ulcer formation. It particularly focuses on the friction which contributes to shear forces. Silk-like sheets and gowns can reduce this static friction that can add to the factors that cause pressure ulcer formation in at-risk patients. This article includes an overview of the literature that supports the use of silk-like sheets, gowns and heel protectors, and also discusses international guidance about pressure ulcer prevention that recommends that silk-like fabrics should be considered for use among people who are at risk of pressure ulcer formation.