Back and pressure point care is an essential part of home-based health care, especially for patients who are bedridden, immobile, elderly, or recovering from illness or surgery. Proper care helps in maintaining comfort, preventing pressure sores, improving circulation, and promoting overall well-being. The back is a major pressure-bearing area when a patient lies supine, while pressure points are areas where bones lie close to the skin and are subjected to continuous pressure, such as the sacrum, heels, shoulders, elbows, hips, and occiput. Back care involves systematic observation, cleansing, massage, and positioning of the patient. The skin of the back should be inspected daily for redness, swelling, dryness, or breaks. Redness over the sacral area is often the first sign of pressure sore formation. The back should be cleaned gently with warm water and mild soap, then dried thoroughly to avoid moisture accumulation. In bedridden patients, gentle back massage using oil or lotion improves blood circulation, relaxes muscles, and relieves discomfort. Massage should be given with long, smooth strokes, avoiding vigorous rubbing over bony prominences or reddened areas.