Doctor insights on:
Bed Sore Break In Continuity
Pressure: Bed sores form in people who do not move from a combination of the weight and decreased circulation to the area. Turning every 2 hours can decrease the risk of forming bed sores. Early bed sores, can be treated with padding, turning and creams. More developed bed sores may require surgery to close them. Prevention is still important after surgery. ...Read more
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
Pressure Sore: Pressure or bed sores develop due to a reduced amount of blood flow to the effected body part over a long period of time. To help prevent them it is important to rotate or shift the body to evenly distribute pressure. If an ulcer develops or looks like it may develop it is very important to treat it seriously and have a wound care specialist recommend treatment/prevention options. ...Read more
Not typical too late: If a bed sore has burst, most likely it is too late for preventive care. Typically the surface of a pressure sore is the tip of the iceberg and once it has "ruptured" extensive tissue death has occurred beneath the surface causing liquefaction necrosis. At this point more adequate drainage and surgical debridement of dead tissue is recommended with care to minimize subsequent pressure. ...Read more
Relieve the pressure: The first step towards treating bedsore or any medical condition is the stop the cause. A bed sore results from pressure so get pressure off the sore by using a different position or pads/pillows. Protective ointments, good nutrition, no smoking and diabetes control also help. If you don't start healing or if there are signs of infection, seek medical/surgical treatment immediately. ...Read more
Bed 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 changes and sometime surgery. ...Read more
4 hours or less: Studies have shown that laying in bed for as little as four hours on a bony area can lead to a full thickness pressure sore to the bone. Things like pressure relief mattresses can buy some extra time but the is no substitute for getting up and moving around. ...Read more
Skin ulcers are often staged based on depth (stage 4 = deepest)...
Stage 1: reddened skin that does not blanch (doesn't turn white when pressed).
Stage 2: superficial erosion of the skin -- often appears as an abrasion, blister, or shallow crater.
Stage 3: full thickness skin loss to the level of fat.
Stage 4: full thickness skin loss + involvement of underlying structures (e.g. Muscle, bone, etc). ...Read more
Multifactorial: Pressure ulcers are a result of pressure on the skin of a vulnerable person. Risk factors include age, immobility, incontinence, poor wound healing, dementia and poor nutrition. Focusing on managing the risk factors are beneficial for prevention, as once the pu is formed, it is more difficult to heal with possibilities of many complications. ...Read more
Depends: Bleeding could be bad or good sign. Bleeding means blood is getting to area and might mean it's healing. But could mean infection. Look to see if pus is present. Look at edges of sore to see if red (good) or white (bad). Tip: stem cells from your fat are now being injected around the sore and the results are promising, especially with difficult ulcers which don't heal. ...Read more
Signs of healing: Red, hot, swollen and drainage (inflammation) are normal signs of healing and in fact, not bad but are integral to healing. If infected, the wound should not improve, the patient have fevers, chills, and other systemic signs of infection. Culture of the wound should never be with a swab on the surface but a simple tissue biopsy. Routine use of antibiotics is to be condemned due to the risks. ...Read more
Avoid pressure: Bed ores can occur from sitting or lying in the same position too long caausing pressure on the skin with resultant tissue ischemia & skin ulcer formation. Best is to prevent this by frequent moving & turning the patient. Special pads & beds can relieve pressure. Need to keep pressure off the site. See about getting home nursing wound care. ...Read more
Air mattress: Patients who have decubitus ulcers can benefit from low air loss, dolphin or clinitron beds which can reduce the applied pressure on the wound and help in the healing process. ...Read more
Yes with wound care: Yes.Get a more detailed answer ›
None: There are no medications for bedsores. Wound care and avoiding pressure to the area are the best options. Wound care may include removal of dead tissue and the use of a vac dressing to promote healing. On occasion large sore may require a surgical flap to get the wound to heal. Adequate nutrition is essential to get wound healing. The best treatment is really prevention. ...Read more
Learn: My best advice is to engage the help of a rehab nurse. They can teach you the best ways to decrease the pressure on vulnerable areas of the body which are typically the back of the head, the shoulder blades, the sacral area and the heals. These are all the parts that are closest to the bone. Learn about turning schedules and special beds that decrease pressure sores. Learn how to prevent them. ...Read more