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DECUBITUS ULCER

DECUBITUS ULCER. Definition – areas of the skin that become broken and painful caused by continuous pressure. Also called: Pressure Sores Bed Sores. Causes of Decubitus Ulcers:. Pressure Friction Lack of Cleanliness – sweat, urine, feces, wound discharge, soap left on skin.

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DECUBITUS ULCER

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  1. DECUBITUS ULCER • Definition – areas of the skin that become broken and painful caused by continuous pressure. • Also called: • Pressure Sores • Bed Sores

  2. Causes of Decubitus Ulcers: • Pressure • Friction • Lack of Cleanliness – sweat, urine, feces, wound discharge, soap left on skin

  3. Causes of Decubitus Ulcers: Pressure results from: • Obesity • Casts / Splints • Bandages • Wrinkles in sheets • Staying in one position too long • Shearing force – skin rubbing on sheets

  4. SYMPTOMS: Pressure causes: Decrease in circulation Increase in heat & moisture • Heat • Redness (Erythema) • Tenderness • Discomfort / Burning • Broken skin

  5. Serious & difficult to cure!

  6. Stages of Decubitus ulcers • w.pele.com.tw/image/stage.jpghttp

  7. Decubitus ulcers frequently occur over bony prominences: • Shoulders • Elbows • Hips • Sacrum • Heels • Ankles • Toes • Ears • Breasts

  8. Decubitus of foot • http://www.univie.ac.at/cga/courses/be528/pressure/24820034.jpg

  9. Decubitus on buttocks

  10. Below is the image at: meded.ucsd.edu/.../skin_decubitus_ulcer.htm Sacral decubitus ulcer

  11. http://www.epuap.org/aberdeen/images/horch2.jpg

  12. Decubitus of the foot • http://www.skinsight.com/images/dx/webAdult/pressureUlcerDecubitusUlcer_45753_lg.jpg

  13. Prevention is the key!! • Assure clean, wrinkle-free linen • Encourage activity • Turn bed-bound patients every 2 hours • Massage around reddened areas • Provide back rubs • Keep skin clean and dry • Assess skin – report changes promptly • Limit time on bedpan

  14. What needs to be done here?

  15. Prevention devices that reduce pressure: Egg-crate foam Sheepskin Alternating pressure air bed Flotation mattress Turning bed

  16. Egg – crate foam • www.rehabmart.com/bedroom2.asp

  17. Sheepskin mattress pad

  18. http://www.universalmedicalinc.com/patient-positioning/gel-positioners?gclid=CKSyv5OvsZ8CFRBGagodCWYBlAhttp://www.universalmedicalinc.com/patient-positioning/gel-positioners?gclid=CKSyv5OvsZ8CFRBGagodCWYBlA

  19. Air – pressure mattress • http://www.ilcaustralia.org/images/ACT/2114008.jpg

  20. http://www.linet.com/data2/dep_5/image003(3).jpgTurning bed

  21. Special skin care needs of the elderly 1. Dryness, less elastic skin (decreased oil gland function/soap left on skin) 2. Skin less nourished - thin (decreased circulation) 3. Bed Bound – Immobility - Skin pressure - Rubbing on sheets - Sheets soiled / wrinkled

  22. Treatment: • Relieve pressure on reddened area • Gentle massage around area – not directly on it • Special dressings: (Opsite / Transderm) • Lights to wound • Surgery if extensive ulcer

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