Pressure Ulcers

Pressure ulcers, also called bedsores, occur when prolonged pressure restricts blood flow to the
skin and underlying tissues, leading to tissue damage. They often develop on areas of the body
where bones are close to the skin, such as the hips, back, heels, and elbows. People with limited
mobility, especially those confined to beds or wheelchairs, face a higher risk.
With proper care and proactive measures, you can significantly reduce the risk of pressure ulcers.
Who is at Risk?
Individuals most susceptible to pressure ulcers include those who are:
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Confined to a bed or wheelchair
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Unable to change their position frequently
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Living with conditions that affect blood flow, such as diabetes or vascular disease
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Experiencing malnutrition or dehydration, which weakens the skin
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In nursing homes or other care facilities, where they may need assistance with mobility and hygiene
Tips for Prevention
Follow these guidelines to help prevent pressure ulcers:
1. Frequent Position Changes:
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In Bed: Change your position at least every two hours.
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In a Wheelchair: Shift weight every 15 minutes if possible, or reposition every hour with assistance.
2. Use Supportive Devices:
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Place pillows or foam cushions between areas prone to pressure, such as between the knees or under the heels.
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Use specialty cushions or mattresses designed to relieve pressure.
3. Keep Skin Clean and Dry:
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Gently clean skin daily and pat dry, especially in areas where moisture may build up, such as near folds or around medical devices.
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Avoid harsh soaps and choose gentle, pH-balanced cleansers.
4. Promote Healthy Skin:
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Stay hydrated by drinking plenty of water.
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Eat a balanced diet rich in protein, vitamins, and minerals to maintain skin health.
5. Inspect Skin Regularly:
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Check daily for any signs of redness, discoloration, or changes in skin texture, especially on bony areas.
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Report any skin changes to a healthcare provider promptly.
Treatment for Pressure Ulcers
If a pressure ulcer begins to form, early treatment is essential for faster healing. Treatments may
include:
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Reducing Pressure: Remove or alleviate pressure on affected areas with cushions or repositioning.
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Cleaning the Ulcer: Gently clean with water or saline solution to prevent infection.
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Dressing the Wound: Apply appropriate dressings that keep the wound moist and promote healing.
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Specialized Treatments: Advanced ulcers may require additional treatments, including medications, debridement (removal of dead tissue), or physical therapy.
Serious pressure ulcers can lead to complications, such as infections or delayed healing, so seek
medical advice early. Proper care and consistent prevention can greatly reduce the risk of
pressure ulcers, improving comfort and quality of life.
For more information see
https://www.mayoclinic.org/diseases-conditions/bed-sores/symptoms-causes/syc-20355893?p=1
https://sci.washington.edu/info/pamphlets/takecare_pressuresores.pdf