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A 21-year-old member asked:

Why is it so hard to treat pressure sores?

3 doctor answers7 doctors weighed in
Dr. Aletha Tippett
Family Medicine 24 years experience
Lack of education: Pressure sores aren't hard to treat, but people can suffer for years with them because the true cause of the problem isn't addressed. If pressure & shear (sliding) are removed and appropriate wound dressings are in place, it should heal easily. If a pressure sore is not healing it's because there's still pressure on that area, even if the person is on a special "pressure support" surface.
Dr. Latisha Smith
Wound care 38 years experience
Other related issues: Pressure ulcers are indeed a direct result of unrelieved pressure to the skin. While pressure relief is important, malnutrition causing low blood proteins, chronic urine or fecal incontinence and underlying bone infection can all cause non-healing of the ulcer. If an ulcer has not improved within 3 weeks of appropriate pressure relief seating and mattresses, then blood tests and xrays are needed.
Dr. Eulogio Galvez
Specializes in General Practice
Constant pressures: Pressure sores are hard to treat because of the constant pressure on the skin when patients are non-ambulatory and bruise the skin, prome to cutaneous bacterial infections. Non-ambulation can also cause rhabdomyolysis.

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A 29-year-old member asked:

What are ways to avoid and treat bedsores and pressure sores?

2 doctor answers4 doctors weighed in
Dr. Lauren Romeo
Wound care 19 years experience
Offload the ulcer: To avoid pressure ulcers: keep skin clean and dry, keep bedding fresh and cool and rotate positions in bed at least every two hours. Use barrier creams for incontinence problems. To treat: offload the pressure area, clean the ulcer and cover it with a dressing suited to the level of drainage.
Dr. Harold Rosenfeld
Plastic Surgery 56 years experience
make certain nutritional support is adequate.
Dec 23, 2012
A 36-year-old member asked:

Is there more than one good way to treat pressure sores?

3 doctor answers8 doctors weighed in
Dr. Mary Efremov
Internal Medicine 43 years experience
Prevention is best: Don't let it happen is the best, good skin tone, good nutrition, frequent turning and avoiding pulling or yanking the patient across the bed sheeting. The skin also has to be kept dry and clean. Once redness develops, the problems multiply. The goal of treatment is clean wound so they can heal, reduce area and spread of infection, and all the above.

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Last updated Dec 12, 2018

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