<s>[INST] Hi good pm, i take care a stroke patient, and thiers a redspot on her back, and now have a small wound already, her Family dont to bring to a doctor to check , they alway buy a medicine in the pharmacy, without checking the doctor. Can u help me, to give a best medicine, im so pity on her, because she complaining a back ache. Pls. Doctor. Thank u in advance [/INST] Dear caretaker your patient has got pressure sore on her back. Sore happens due to constant pressure at one point in back. This can be prevented by constant change of positions every 2 hourly. Use of air bed is highly recommended. If patient is able to sit make him sit in bed. For developed sore daily saline Chat Doctor.  You may also consult plastic surgeon for expert opinion. Reason for backache may be due to bed sore or lower spine stiffness. Please take tab moral 4 mg twice a day and need to consult spine surgeon nearby you.thanks. </s>