Doctor insights on:
Are Antibiotics An Effective Treatment For Pressure Sores
A bed sore is an injury to the skin, and tissues beneath the skin, caused by pressure. They can range from a stage one pressure sore (tender, red and does not blanch) to stage four (an open wound extending down to the bone). Early stage pressure sores can respond to off-loading, while deep ulcers require debridement, dressing ...Read more
Wound care specialis: See a wound care specialist or center because pressure sores may require a multi-disciplinary team to enhance nutrition, control contributing systemic or local disease, institute physical therapy, recommend appropriate medical regimens or treatment protocols including possible surgery. ...Read more
It depends: The best treatment is prevention by relieving pressure which can also help heal early ulcers. If there is significant necrotic tissue or the ulcer is quite large/deep, surgical debridement and closure may be performed. Infections and other problems which delay healing (tobacco, poor nutrition, diabetes)need to be controlled with appropriate treatments as well for best results. ...Read more
Bedsores: Bedsores are due to pressure over bony prominences. The best way to prevent bedsores, once they occur, is to keep pressure of these areas. That means that you need to constantly move the person into different positions to relieve the pressure. Seeking professional help like with a wound center is a great option since depending on the depth, stage and location of the uler, your options will differ. ...Read more
Pressure relief!: Pressure sores require relief of pressure--offloading at least 10 minutes every 2 hours. Once pressure necrosis occurs, however, treatment requires debridement of dead tissue, wound care to avoid or treat infection if present, and a moist environment to assist healing. Numerous medications, gels, and pastes exist, but none are magic. Some silver compounds help minimize bacteria; fecal soilage bad! ...Read more
RX pressure ulcer: At any stage, a treatment plan is needed. But direct observation of the wound is absolutely necessary to answer this question. Minimize the pressure, debride the devitalized tissue from the wound, use clean products in or on the wound, and careful followup by wound care professionals either in a wound center or by home health nursing is vital. ...Read more
NPH Drug Treatment: No definitive evidence exists that medication can successfully treat nph. Parkinson drugs have been reported to be of benefit in anecdotal reports, these patients with nph may represent misdiagnosed cases of parkinsonism. In patients who are poor candidates for shunt surgery, repeated lumbar punctures in combination with diuretics may be considered. ...Read more
I think the question should be --is it necessary?
Latest data says no. ...Read more
No: Pressure sores can occur anywhere there is unrelieved pressure. People who are bedbound generally will get them over the sacrum and the backs of the heels. People who are wheelchair bound and don't care for themselves adequately get them over the ischium (the sit-bones.) lying on one's side for too long can cause them over the greater trochanter (outside of the upper thigh.). ...Read more
Mask sores: You can get sores from medical devices as you have found out. There are many skin protectants and cushions available on the market to try to prevent this type of injury. A visit with a wound center and or wound and ostomy nurse may be a worthwhile pursuit. If the device has a well known manufacturer, then contacting the company is also worthwhile to see what they recommend, including a different d. ...Read more
Pressure sores: A small percentage of chronic ulcers can become cancerous, but this is unusual and especially so for pressure ulcerations. Any wound that has been present for a long time that has not responded to usual forms of treatment by trained wound professionals can be considered for biopsy to be read by a trained pathologist. ...Read more
Pressure Sores: This can be a little tricky. There are six categories of pressure ulcers: stages 1, 2, 3, 4, unable to stage and deep tissue injury. There are a pressure injuries that do not necessarily need to be covered. For example, a stage 1 ulcer does not have a break in the skin and can be left uncovered in many cases. Some ulcers are left uncovered because of location but have protective creams applied. ...Read more
No, they assess risk: They can be a good resource for planning care of a susceptible patient to avoid pressure sores, but the only way to prevent pressure sores is to avoid prolonged pressure, especially over bony prominences and to be hypervigilant in examining areas daily that are prone to these sores. ...Read more
No: They are tool to help you assess the patient's risk to develop the ulcers. They are not preventative. ...Read more
My dad has a feeding tube and is having trouble getting his pressure sores to heal. Are the two related?
Possibly: Adequate nutrition is essential to heal any kind of wound. That your father has a feeding tube implies that he needs more nutrition than he can get by feeding himself. That said, it is also essential to keep pressure off the pressure sore to promote healing. Some pressure sores are deep enough that they will never heal without a surgical procedure, but adequate nutrition is necessary to heal that. ...Read more
How big can pressure sores get? I have never seen a pressure sore. How large are they capable of getting? .
Very Large.: Pressure sores left untreated, can become extremely large. For example, I have seen pressure ulcers that span the entire width of the patient's back, sacrum, or buttuck areas. ...Read more
Can I get pressure sores from a desk job? Is it possible to develop pressure sores from sitting all day at a desk and barely getting up? .
While anything is possible, pressure sores usually occur in people who either have impaired sensation in the area in question, are unable to move due to paralysis or impaired consciousness, or some combination of both.
If you have normal sensation in your legs and buttocks and are not paralyzed or unconscious you are not likely to develop pressure sores. ...Read more
My mum has pressure sores on her bum which are spreading what can be done to improve these? We use barrier cream regularly but I am concerned.
Once a pressure sore develops it needs the specialized care of a wound specialist such as a plastic surgeon. It may need to be cleaned and may need coverage with special dressing, a skin graft or even an advancement of surrounding tissue surgically. Prevention is overall the best treatment. Turning every 2 hours, dry beds, minimal pressure among other things are needed.
http://www. Npuap. Org. ...Read more
Can someone have pressure sores and not be aware of it? Is it possible for an alert individual to develop a pressure sore and not realize it? .
No pressure, no sore: Is the general rule. People with normal sensation and mobility never stay in one position for too long. Pressure over a bony prominence can cause skin injury in as little as two hours. That is why debilitated patients and those with spinal cord injuries are placed on pressure-relieving mattresses, turned and repositioned frequently and checked for the presence of early pressure sores frequently. ...Read more
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. ...Read more
Back, butt, heels: As the other 2 md's stated, the most common areas are the back, butt, & heels. Pressure sores can occur anywhere on the body that is near or over a bony prominence (like the heels or elbows) or where the body is in prolonged contact with an object without any pressure relief. Here is a good diagram showing common pressure sore areas: http://www. Selectmedical. Co.Uk/images/pressure_sores. Jpg. ...Read more
Any Analgesic: Pain is asymptom, not a disease. Pressure sores commonly occur in areas without normal sensation. Pain may be indicating someting moree is going on. Get examined by you physician. ...Read more
Yes: If they are debilitated and/or paralyzed, yes. ...Read more
Immobility: Anyone that does not move will develop a pressure ulcer. Certain people are more predisposed then others to develop them at boney prominences. These include anyone that can't move, the elderly, undernourished. Causes include pressure, friction, moisture and shearing forces. Risks include incontinence, immobility, age, dementia and poor circulation. ...Read more
Pressure sores: Pressure sores = Bed sored = Injury to skin & deeper tissues due to prolonged pressure on/ against skin. ...Read more
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. ...Read more
Yes: Pressure sores occur in patients who either lack sensation (e.g. Spinal cord injury patients) or the ability to reposition themselves (elderly or comatose patients). In general, repositioning should be done every 2 hours to prevent the development of pressure sores.) with infection, tissue loss may spread to other surrounding areas. ...Read more
Mild soaps and dress: Mild cleansers and application of hydro active gel dressings with the possible infusions of silver may help. Enzymatic digestion may also be useful. Vac therapy is also a useful modality. Seek the advice of a wound care specialist who can prescribe and monitor your treatments. ...Read more
Infected dead tissue: Pressure sores are caused when unrelieved sustained pressure causes tissue compromise or death. Bacteria use the dead tissue as a nutritional source and proliferate. Occasionally maggots may also find this a good source of nutrition. Certain bacteria will produce odors that are offensive. Wound care includes surgical removal of dead tissue to limit bacterial growth. ...Read more
All layers: Deep to superficial. But the primary problem is compromise of the vascular supply in the subcutaneous layers and secondarily in the dermis. ...Read more
No: You might be thinking of gastric ulcers. ...Read more
Sores from sitting: Sores from sitting in wheelchairs are due to all three types of pressure injuries: pressure, shearing and friction. Pressure can be relieved by alternating positioning; shearing can be prevented by careful attention to lifting oneself before moving into a new position; and friction can be prevented by understanding and correcting any rubbing issues. Request a seating evaluation from your clinician. ...Read more
Yes: Pressure sore are caused from excessive pressure on a specific area of body: usually develop when one is in a specific position for a long time such as in bed for days without movement. ...Read more
Changing position: You need to help him/her changing positions, no matter what. Avoiding sitting in one position more than 2 hours. The seat should be soft. ...Read more
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