What is Bed Sore (Pressure Sore), How is Dressing Done? Your doctor will take a closer look at the skin to determine if there is a bed wound and how bad the wound is. It will try to classify the level of your injury up to a certain stage. Determining the stage of the wound helps to implement the best treatment method for you. He or she may also order a blood test to evaluate your overall health.
Possible questions the doctor might ask:
- When did bedsores first appear?
- What is the degree of pain?
- Have you ever faced bed sores before?
- What kind of care is there now?
- How often do you change positions?
- Which medical diagnosis has been made and what is the current treatment method?
- What are your daily diet, diet, and fluid intake?
Wound care and pressure sores, specialist wound care should be provided by trained assistant healthcare professionals and physicians. Keep in mind that in adverse situations, the patient may be treated incorrectly which will adversely affect the injured limb and life.
What are the symptoms of pressure sores[ Bed Sore]?
There are various stages depending on the severity of pressure sores. Patients who use wheelchairs have a higher risk of developing pressure sores:
- Hips, coccyx
- Back of arms
Pressure sores or bedsores are divided into four stages:
- Stage one: The skin looks red and hot to the touch. There may be an itching sensation.
- Second stage: Discolored painful open sores or blisters may be seen.
- Third stage: A crater-like appearance may occur due to tissue damage under the skin surface.
- Fourth stage: Possibly serious infection of the skin. Muscles, bones, and even tendons can be seen.
An infected wound takes much longer to heal, and the infection can spread to different parts of the body.
Bed Wound Treatment
Bed sore Treatment includes reducing the pressure on the affected area of the skin, thinning wounds, providing pain control, preventing infection, and eating well.
Necessary Team for Treatment
Wound care treatment usually requires a highly disciplined approach:
- A physician who supervises the treatment process and plan
- A home care doctor or home care nurse specializing in wound care
- Nurses or medical assistants providing care support to manage wounds
- A physical therapist who can help improve mobility
- A dietitian who monitors your nutritional needs and recommends a good diet
- A dermatologist specializing in skin diseases
- A neurosurgeon, orthopedic surgeon, or plastic surgeon
Relieving Bed Sore Pressure
The first step in treating a bed wound is to reduce the pressure and friction that cause the wound. The strategies include:
If there is a bed sore change position frequently, the frequency with which the patient changes position depends on the condition and quality of the surface you are on. If you usually use a wheelchair, try changing the load every 15 minutes and changing positions every hour. If the sick person is constantly in bed, change positions every two hours.
- Using Support Surfaces Use
special mattresses, cushions, and pillows to help lie down or sit down to protect vulnerable skin.
Cleaning and Dressing Bed Sore
Care and treatment for bed sores depend on how deep the wound is. Usually, the process of cleaning and dressing a wound includes:
- Cleaning. If the affected skin is not severely damaged, it should be gently cleaned, washed, and kept dry. Open wounds should be cleaned with water or saline with every change of clothing.
- Placing a bandage. The bandage keeps the wound moist and accelerates healing. It also creates a barrier against infection and keeps the area around the wound dry.
- Removing Damaged Tissues. In order for wounds to heal properly, they must be free of damaged, dead, or infected tissue. A number of methods are required to remove damaged tissue, so you should seek help from your doctor.
Bed Sore Drugs and Other Interventions
Other medical interventions include:
Use of drugs to control pain. Some medications are effective in reducing pain, you should consult your doctor for information about these drugs. These types of medications can be very helpful before or after wound care.
Medicines to fight infection. Infected wounds that do not respond to other treatments can be treated using some antibiotics.
Choosing a healthy diet and good nutrition can accelerate wound healing.
maybe required in a situation where all other methods of wound treatment do not work and large wounds that cannot heal get worse.
What is an open wound?
The main complication of an open wound is the risk of infection. You may be at risk of infection if the wound area is dark, dry or deeper
How does the wound heal, what are the stages of Bed Sore healing?
Bed Sore The healing stages of the wound proceed in an organized manner and four processes are followed; hemostasis, inflammation, proliferation, and maturation. Although the stages of wound healing progress in a significant range, wounds may regress or progress depending on the internal and external conditions of the patient. The four stages of wound healing:
Hemostasis is the process of wound closure by coagulation. When blood leaks from the body, hemostasis begins. The first step of hemostasis is the restriction of blood flow as a result of the narrowing of blood vessels. The platelets then stick together to close the division in the blood vessel. Finally, coagulation occurs and a molecular connector reinforces the platelet plug with fibers.
The Inflammatory Stage
Inflammation is the second stage of wound healing, starting immediately after the damage that infiltrates the damaged blood vessels causing regional swelling. Inflammation both controls bleeding and prevents infection. The leaked fluid allows cells to heal and repair, cells damaged during the inflammatory phase, pathogens and bacteria are removed from the wound.
Proliferative Stage The proliferative stage of
wound healing occurs when the wound regenerates with a new tissue composed of collagen and an extracellular matrix. At this stage, when new tissues are formed, the wound narrows. In addition, a new blood vessel network must be established in order for the granulation tissue to be healthy and to receive sufficient oxygen and nutrients.
Also called the regeneration stage of wound healing. This maturation phase ends with collagen tissue remodeling from type 3 to type 1 and complete wound closure. Cells used to repair the wound but are no longer needed are removed by apoptosis or programmed cell death.
What are the things that are good for the Bed Sore?
Good nutrition is essential for recovery. In the recovery process, the body requires an increased amount of calories, protein, vitamins A and C, and sometimes zinc.
Healthy eating goals
Eat a variety of foods to get all the calories, protein, vitamins, and minerals you need. Your body needs a variety of nutrients to effectively heal wounds. What you eat is one of the most important factors that determine how quickly your wound will heal.
What has wound care dressing, how is dressing done?
The dressing is used by a doctor, nurse, caregiver, and/or patient to aid wound healing, prevent infection or other problems such as complications. Wound dressings are designed in direct contact with the wound. The dressing serves a variety of purposes depending on the type, severity, and location of the wound. In addition to being the most important function of reducing the risk of infection, it helps to stop bleeding, to form clotting, and to start other healing processes.
Hydrocolloid dressing is used for burns, mild to moderate wounds, necrotic wounds, pressure ulcers, and venous ulcers.
Hydrogel dressing is used in extremely painful, fluid and necrotic wounds, pressure ulcers, second-degree or higher burns, and wounds containing the infection.
Alginate dressings are used for medium to large amounts of wound drainage, venous ulcers, level 3, or 5 ulcers.
Collagen wound dressing can be used for bedsores, ulcers, chronic wounds, surgical wounds, second-degree or higher burns, and large-surface wounds.
What are the factors that prevent the bed sore or pressure sore process from healing faster?
Dead tissue (necrosis): Dead tissue and foreign materials affect the healing process.
- Infection: Open wounds can develop as a result of a bacterial infection, the body tries to deal with the infection instead of healing the wound.
- Bleeding: Permanent bleeding will keep the layers of the wound separate and prevent them from joining.
- Mechanical damage: For example, a patient who is unstable, tied to a mattress, risks constant pressure and friction.
- Diet: Choosing foods that are poor in nutrients can deprive the injured area of nutrients that are effective in wound healing, such as vitamin C, zinc, and protein.
- Medical conditions: Diabetes, anemia, and some vascular diseases that restrict blood flow to the area or disorders that affect the immune system can delay wound healing.
- Elderly: It may take longer for bed sores or pressure sores to heal in the elderly.
- Medications: Medications or treatments used to treat certain medical conditions can affect the body’s healing process.
- Smoking: Smoking hinders healing and increases the risk of complications.
- Varicose veins: Restricted blood circulation and swelling can cause skin breakdown and permanent ulceration.
- Dryness: Wounds exposed to air (such as leg ulcers) are less likely to heal. Various cells involved in healing, such as skin cells and immune cells, need a moist environment.
Will pressure sores or bed sores in contact with air heal faster?
Most parents and nurses take a time-honored approach to wound care: clean, stop bleeding and then let it breathe some air. As described in medical resources, the purpose of this approach is to reduce the possibility of infection and speed up the healing process. However, as the years progressed, it has been understood that this method, which many people use for small cuts and injuries, is wrong. According to experts, bringing a wound into contact with air is a terrible mistake because it creates a dry environment that leads to cell death.
Several studies show that when wounds are kept moist and covered, blood vessels regenerate much faster and the number of cells that cause infection decreases faster than wounds left open. Keeping the wound moist and covering it for at least five days is the best practice.
It is also a common mistake to apply antibacterial ointments, these ointments can keep the wound moist but can cause swelling and allergic reactions called contact dermatitis. Vaseline applied twice a day is a very effective solution.
The information on bed sores or pressure sores in this article is not intended to guide people to diagnosis and treatment. Do not apply all procedures for diagnosis and treatment without consulting your doctor. The contents do not contain information regarding the therapeutic health services of Acıbadem Mobil
Acıbadem Mobile Home Care Wound Care Team
The page content is for informational purposes only. Items containing information about therapeutic health services are not included in the content of the page. Consult your physician for diagnosis and treatment.