Bed sore/decubitus ulcer ,common site of occurrence ,predisposing factors along with treatment options

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                       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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