Doctor insights on:
Why Do Pressure Sores Sometimes Smell Bad
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 moreSee 2 more doctor answers
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
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
Less: Generally, people with a larger body mass have a lower risk for pressure sores because they have more padding between bony prominences and the skin. However, when pressure sores develop near the bone (deep tissue injury), they tend to be much worse in larger patients because the tissue damage can be extensive before they are noticed. ...Read moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
Keep moving: Treatment of pressure sores/wounds/ulcers from sitting in a wheelchair are exactly the same as treatment of pressure sores/wounds/ulcers from laying in bed: start moving around & keep moving. Don't remain in any position for more than a few minutes. Allow blood to circulate everywhere there's pressure (sitting or laying). Stay hydrated. Eat lots of nutritious food including protein to allow healin. ...Read moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
Pressure ulcer: As a patient gets older, they are often become more sedentary and the chances of prolonged pressure on bony prominences increases the incidence of pressure sores. This same subset of patients have altered nutrition too which puts them at further risk. ...Read moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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