Bed sore/decubitus ulcer ,common site of occurrence ,predisposing factors along with treatment options
PRESSURE SORE:
INTRODUCTION:
PRESSURE SORE IS ALSO KNOWN AS:
BED SORE/DECUBITUS ULCER
- Trophic ulcer with underlying bone as base
- Non -mobile ,deep ,punched out ulcer
- Common in :
Old age
Tetanus
Diabetic
Comatose patient
Anemia
Emaciated patient
BED RIDDEN INDIVIDUAL
SITES:
- Occiput
- Heel
- Sacrum
- Scapula
- Elbow
- Buttock
PREDISPOSING FACTOR:
- Malnutrition
- Anemia
- Excessive sweating
- Edema
- Incontinence-skin moist, septic
- Friction due to foreign body, bed sheet
- Superficial bed sore 75%common
- Deep bed sore is painless and covered with slough
TREATMENT:
- Change of position in bed
- Use of water bed ,ripple bed
- Bed-smooth, free from wrinkles
- Skin-dry, clean, washed with soap
- Ripple bed-alternate pressure point pad under bottom sheet of ordinary mattress
- Urinary incontinence- specialized silicone bed clothes
- Good nursing ,regular dressing
- Good nutrition is necessary
- Antibiotics ,blood transfusion are very essential as per need
- Excision of dead tissue followed by skin grafting
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