Doctor insights on:
Bed Sores On Buttocks
What are some ways you can cure or treat a bed sore and will the treatment cause pain in the buttocks region?
Basic treatment: Bedsores are caused by unrelieved pressure on the soft tissues overlying a bony area. The key is to get them off and keep them off the area to allow healing. Once damaged, the tissues heal through inflammation which is the bodies way to get fresh healing blood to the injured area. As the damaged nerves heal, they let you know by causing pain which is a good sign. Motrin and advil (ibuprofen) slow down healing.See 1 more doctor answer
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
92 y.O. Bed and chair-bound male who wears diapers for incont. How 2 minimize sores on buttocks due 2 sitting all day? Very limited mobility. Thank u!
Rotation: Must change point of maximum wt on skin by changing patients position every 2-4 hours, easier said than done in this case however, he is lucky you care.See 1 more doctor answer
Need more info...: Bed sores or pressure ulcers can develop in at-risk skin in 2 hours, which is why hospitals rotate position of immobile patients with that frequency. Treatment depends on severity, but if mild, a protective cover (moleskin or similar) and pressure avoidance / repositioning, can allow it to heal. Pharmacies often have more sophisticated dressings that protect and cushion, some need a doctor's order.See 1 more doctor answer
Exceptions: I am aware of three exceptions tot he preventable rule. Patient noncompliance tissue failure - a complex term that basically means that the patient is dying and no matter what you do, they will have skin breakdown. Hemodynamic instability - patients in critical condition for whom turning or position changes cause significant problems with their hemodynamics. Otherwise, they should not occur.See 1 more doctor answer
Bed sores: Bed sores are due to pressure injuries to the skin. There are two sides to the equation: the length and type of pressure on the one side; and the vulnerability of the skin on the other (moisture, edema, arterial disease, prior disease, etc.). The types of pressure injuries include friction, shearing, and pressure. You must work both sides of the equation to get rid of the bed sores.See 1 more doctor answer
Remove risk factors: Bed sores or pressure ulcers/wounds are caused by ischemia (lack of blood flow). Pay attention to how often you move or shift in place even in a comfortable chair. That's to avoid excess pressure & lack of flow in key areas such as bony prominences. Best way to treat is therefore to remove risk factor, eg immobility: change position frequently. Clean wound (enzymatic or mechanically). Eat protein.See 1 more doctor answer
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.See 2 more doctor answers
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.See 1 more doctor answer
Change position…: …frequently to prevent pressure buildup on any one area (sacrum, back, buttocks, hips). If ambulatory, movement improves circulation. Special beds/mattresses are available to help reduce pressure on susceptible areas. Good nutrition maintain strength & muscle & protein. Regular doc checks (or wound care nurse) for prevention. Control diabetes, htn, circulatory problems.See 1 more doctor answer
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.See 1 more doctor answer
Cause and effect: Bedsores are caused by pressure that damages the tissues. Unless you can float, pressure relief is impossible. The keys are to spread the pressure out over larger areas so bony prominences do not take the brunt. Frequent position changes reduce time the pressure has a chance to damage the tissues. Good nutrition, keeping the skin moist and healthy, keeping bony areas away from themselves helps.See 1 more doctor answer
Yes it is pressure: Bed sores form when an area of skin, usually over a bony prominence, remains under pressure for an extended period of time. This happens in bed bound people, paraplegics and quadriplegics. Therefore frequent positional changes help to prevent these ulcers.
Mattress not crucial: Mattress is not crucial, as long as it's not too hard. It might be better if mattress is compatible with person's body shape. More important is to turn body around (changing position) every two hours, avoiding any specific (body) spots being against any object/hard substance for too long.See 2 more doctor answers