With pressure ulcers costing the NHS an estimated £4 billion per year (Whitlock et al, 2011), an increasing emphasis has been placed on reducing their incidence. The authors initiated a review of pressure ulcer incidence. Following this, it was decided that a product evaluation should be conducted within two critical care units in order to determine whether a prophylactic five-layer silicone foam would aid ulcer incidence reduction. The evaluation lasted for 3 months and the aims were to prevent incidences of ulceration caused by moisture, friction, and shear; reduce the incidence of pain associated with skin damage; and promote cost-effectiveness in the prevention of sacral lesions. The results of the evaluation highlighted the effectiveness of introducing a prophylactic dressing within critical care as a prevention strategy.