Doctor insights on:
Why Do Bed Sores Smell
Bedsores fatal: Bedsores (pressure ulcers, decubitus ulcers) can get very large, go to deeper structures, or can be so numberous that they at the very least be associated with a terminal process for a patient. Remember, the skin is the largest organ of the body; it is the most visible one also. Equating cause of death with the effects of the dying process can be a difficult matter. ...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
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. ...Read more
I am aware of three exceptions tot he preventable rule.
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. ...Read more
Frequent turning: Frequently turning the patient will relieve pressure on body parts. Taking the patient or family member in and out of bed in and out of wheel chairs for support will help reduce the occurrence of bed sores. Use of air flotation mattresses or waterbeds have been shown to be an efficient way of reducing the occurrence of bed sores. ...Read more
No single treatment: Well there is one thing all bedsores need: relieve pressure! After that the depth, 'stage' amount of drainage as well as other factors determine the treatment. Probably best to have a consultation with a wound specialist on short order to get everything going in the right direction. ...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
#1 stop pressure: There is no magic cure for pressure sores. The solution is to minimize pressure. Some have advocated the use of medical grade honey to lower the incidence of infection but this will not cure the sore. Simple wound care with cetaphil soap and a moist dressing changed twice a day is usually adequate. ...Read more
Positioning: To avoid bed sores, I would recommend getting a water bed or air flotation mattress. Vigilant repositioning in bed is the key. Turning your relative to different sides and if possible getting out bed would help. Padding of known pressure areas will also be beneficial. Again vigilance, vigilance vigilance is the key. ...Read more
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. ...Read more
Bedsores: Bedsores fall into one of four stages based on their severity. The appropriate treatment would depend on the stage of your bedsores. The first step in treating a sore at any stage is relieving the pressure that caused it. See a doctor for evaluation. ...Read more
Pressure wounds: Pressure wounds are all about pressure off loading. Alleviation of the pressure / decreased blood flow is the key. Therefore environmental modification of beds, turning routine, and wheel chairs are of paramount importance. Wound care with adequate surgery to clear the bad tissue is also important. Nutrition should be optimized. Occasionally flaps are done on full thickness wounds. ...Read more
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