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Decubitus ulcers (wounds as a result of suppression, skin ulcers, bedsores) is harm to your skin layer caused by deficiency of blood flow and irritation of the epidermis since the prominent bone, the place that the skin gets pressure from a bed, wheelchair, cast, splint or other hard objects eventually.
Parts of the body are often experienced decubitus ulcers may be the part where there exists a protrusion of bone, the elbow, heels, hips, ankles, shoulders, back and the back with the head.
pressure ulcers causes
Skin is containing more blood vessels that carry oxygen during the entire lining.
If circulation is interrupted for more than 2-three hours, then this skin will die, who going in the top layer of skin (epidermis).
The reason for reduced blood flow to the skin would be the pressure. If the pressure creates a decrease in blood, your skin is missing out on oxygen will initially appear red and inflamed and form open sores (ulcers).
Normal movement will reduce the pressure to ensure blood continues to flow. Skin boasts a layer of fat that functions as a protective cushion against external pressure.
High-risk of decubitus ulcers purchased at:
1. People that can't move (eg lame, very weak, deprived)
2. Those who are can not feel pain, because pain is really a sign that normally encourage want you to move.
Nerve damage (eg injury, stroke, diabetes) and coma can cause a lower life expectancy chance to feel pain.
3. People that experience malnutrition (malnutrition) doesn't have a protective layer of fat and skin isn't perfectly recovered from not enough nutrients which have been important.
Therefore, patients with malnutrition also have a the upper chances of decubitus ulcers.
4. Friction as well as other harm to the outer layer on the epidermis can cause the development of ulcers.
Clothes which might be too large or too small, wrinkles about the sheets or shoes that rub against the skin may cause problems for the skin.
Experience of moisture in the long run (as a consequence of sweat, urine or feces) can break the top of the skin and allows the of ulcers.
pressure ulcers SYMPTOMS
Most of decubitus ulcers distress and itching, in case we have a disruption in the taste, which dalampun ulcer seriously isn't painful.
Decubitus ulcers are categorized into several stages:
Stage # 1: Ulcer yet fully developed
Stage # 2: red and swollen skin, often accompanied by the formation of blisters, the most notable layer of skin actually starts to die
Stage # 3: ulcer did start to arise inside the skin, infiltrate in the deeper layers of the skin
Stage # 4: ulcer penetrates skin and fat, enter into the muscle
Stage # 5: muscle damage
# Stage 6: could be the deepest stage of ulcers, bone damage occurs and in which the occasional bone infection.
If the skin is injured or torn then it will have a different problem, and that is infectivity.
Infections slow healing ulcers are superficial and can be fatal into a deeper ulcers.
pressure ulcers Diagnosis
Diagnosis will be based upon symptoms and physical examination.
pressure ulcers TREATMENT
Treat decubitus ulcers tougher than prevent it.
In the early stages, ulcers usually improve on it's own after pressure is taken away. Maintain health by consuming extra protein and calories can accelerate healing.
If your injured skin must be engrossed in a bandage. In order not connected to the wound, use a teflon coated bandages or contain petrolatum.
For the deeper ulcers, used bandages containing material that resembles gelatin, which can assist the expansion of new skin.
Should the wound is infected or take away the pus, needs to be cleaned with soap or make use of a disinfectant (eg, povidone-iodine).
Sometimes physicians eliminate the old skin debris by making use of a scalpel (debridement).
Deep ulcers are hard to treat.
Sometimes important to healthy skin grafting within the area damaged. But transplant just isn't always possible, especially pda elderly who are from malnutrition.
If you have infection, antibiotics receive.
If the underlying bone infection (osteomyelitis) receive antibiotics Djangkan long as osteomyelitis difficult to cure and will spread from the bloodstream.
pressure ulcers PREVENTION
Decubitus ulcers damage which enables it to be fatal.
Ulcers also cause hospitalization period becomes longer and cost more.
To avoid the of ulcers may be accomplished this measures:
# Changing the position of the patient who are able to not move themselves, at the least every 2 hours to alleviate pressure
# Protect the bony parts of the body with soft materials (for example pillows, foam pads)
# Eat healthy foods with balanced nutrients
# Keeping your skin neat and try and keep skin dry.
In the event the patient has to undergo bed rest for years, will use special mattress, the mattress is stuffed with water or air.
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