Doctor insights on:
How Long Does It Take For Pressure Ulcers To Form
Duration for PUs: Pressure ulcers are due to 'enough' pressure to occlude the blood pressure of the microscopic capillaries. No one is sure how long it you must occlude these capillaries so that a pressure injury results in changes in the skin. It will vary from person to person because of multiple factors in addition to time: repeated episodes, moisture, nutrition, protein stores, ability to heal, diabetes mellitu. ...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
2.5 million in USA: This is an estimate and represents the number of TREATED pressure sores. The incidence is likely to be much much higher. http://www.uptodate.com/contents/epidemiology-pathogenesis-and-risk-assessment-of-pressure-ulcers?source=outline_link&view=text&anchor=H2#H2For a good summary: ...Read more
Multifactorial: Pressure ulcers are rare, though possible in the young - as in a 10 hour back surgery. It is more common in the elderly / infirmed with issues like stroke related paralysis/paresis, cachexia, metabolic problems like diabetes and chronic illness like kidney disease. Add prolonged pressure to the above, even healthy looking tissue will breakdown and not heal properly. ...Read moreSee 2 more doctor answers
Would suggest: Googling the answerGet a more detailed answer ›
Reduce: Swelling and recurrence.Get a more detailed answer ›
A cleanout and...: Often pressure sores are bottle shaped, with a small skin opening overlying a larger cavity that may extend to an underlying pressure point. This causes dead tissue to build up in the cavity, which is an excellent growing medium for bacteria. Debridement is removal of dead tissue and debris and enlargement of the skin opening: this allows easier cleaning and/or flap closure when the wound is clean. ...Read moreSee 2 more doctor answers
Stage: - reduce or eliminate underlying contributing factors by providing pressure relief with proper positioning and support surfaces. - provide appropriate local wound care, which may include debridement for patients with necrotic tissue, based on the ulcer's characteristics. - consider adjunctive therapies, such as negative pressure wound therapy - monitor and document the patient's progress. ...Read moreSee 1 more doctor answer
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