Bedsores: From warning signs to prevention, all you need to know

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Pressure ulcers, also known as bedsoresare trauma to the skin and underlying tissues as a result of prolonged pressure on the skin. They often develop on the skin covering the bony areas of the body, such as the heels, ankles, thighs, and tailbone.

“The people most at risk for pressure sores are bedridden patients due to prolonged pressure on the same parts of the body. Pressure ulcers can develop over hours or days, and most ulcers heal with timely and accurate treatment. Pressure ulcers can be divided into several main stages depending on many factors such as severity, depth, etc. The degree of damage to the skin and tissues ranges from red, intact skin to deep damage affecting muscles and bones, ”said Dr. Santosh. Jah. Medical Superintendent of Porvoo Transition Care.

The warning signs of pressure sores are:

* Changes in skin texture and color that may appear unusual.
*Swelling
* The part of the skin that feels colder or hotter than the rest of the body.

Prevention

Pressure ulcers can be prevented by frequently repositioning the patient to avoid stress on the skin. A few more tips that can help prevent pressure ulcers:

1. Proper nutrition and fluid intake,
2. Taking care of your skin,
3. Quitting smoking,
4. Decrease stress levels
5. Performing some form of daily exercise.

Adjusting the bed height can help prevent pressure sores. (Source: Express Photo by Tashi Tobgyal)

Tips for repositioning for pressure ulcers

* Frequent change of position:
* Climb up if possible. Wheelchair push-ups should be performed if the patient has the necessary upper body strength. Wheelchair push-ups are performed by lifting the body from the seat by pressing down on the armrests of the chair.
* ”Choose mattresses or pillows to relieve pressure and make sure your body is well positioned. The use of donut pads is not recommended, as their use can lead to increased pressure on the surrounding tissues, ”the expert suggested.
* Adjust the height of your bed. Raise the bed at a 30-degree angle if possible. This helps prevent haircuts.
* It is important to take care of skin hydration by applying moisturizing cream

Decubitus ulcer treatment

• Causal factors such as pressure, shear and friction must be eliminated.
• Good control of comorbidities such as diabetes, sensory loss.
• Management of bacterial load and colonization.
• Provide good nutrition.
• Regular cleaning and bandaging of affected areas.
• Raising the limbs to improve venous and lymphatic drainage.
• Routine physiotherapy sessions.


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