Pressure sore risk calculators have assumed a cardinal role in pressur
e sore prevention and management. Doubts have been expressed as to the
extent to which the use of risk calculators should direct care as the
y have not been found to display high levels of reliability and validi
ty. This paper raises important methodological issues regarding the re
liability and validity of risk calculators in order to inform the deba
te as to the direction of future research in this area.