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Bed Sores Common, But Also Preventable

While pressure ulcers or bed sores are one of the most common and most costly medical errors, according to a recent study, medical experts say they are also the most preventable.

If you have a loved one in a nursing home, hospital or other care facility, medical experts suggests that you check that person's skin condition, weight and general care every time you visit. If you notice any sign of pressure sores or neglect, alert the nursing staff and attending physician or nursing home director immediately.

Although wounds can develop in spite of the most scrupulous care, it's possible to prevent them in many cases, according to the Mayo Clinic. Such a plan include position changes along with supportive devices, daily skin inspections and a maximally nutritious diet.

Here's a closer look at three ways to prevent pressure ulcers.

Position changes

Changing a person's position frequently and consistently is crucial to preventing bedsores. It takes just a few hours of immobility for a pressure sore to begin to form. For that reason, experts advise shifting position about every 15 minutes for those in a wheelchair and
at least once every two hours, even during the night, for those who spend most of their time in bed.

Experts suggest using a pressure-reducing mattress or bed, including foam, air, gel or water mattresses. For some people, a low-air-loss mattress may provide enough support. But more expensive and technologically sophisticated beds may be needed for people who have recurring pressure sores or who are at very high risk.

Pressure-release wheelchairs, which tilt to redistribute pressure, may make sitting for long periods easier and more comfortable.

Skin inspection

Daily skin inspections for pressure sores are an integral part of prevention. Skin should be inspected thoroughly at least once a day.

For those confined to bed, pay special attention to hips, spine and lower back, shoulder blades, elbows and heels. For those in wheelchairs, look especially for sores on their buttocks and tailbone, lower back, legs, heels and feet.

If an area of skin is red or discolored but not broken, keep pressure off the sore, wash it gently
with mild soap and water, dry thoroughly, and apply a protective wound dressing.

If you see skin damage or any sign of infection such as drainage from a sore, a foul odor, and increased tenderness, redness and warmth in the surrounding skin, get medical help immediately.

Nutrition

A healthy diet is important in preventing skin breakdown and in aiding wound healing. Unfortunately, the people most likely to develop pressure sores are also often the most malnourished. A dietitian can help devise an eating plan that caters to food preferences while
supplying necessary nutrients.

For more on nursing home safety, see the nursing home injury library articles by Daytona Beach nursing home injury lawyer.



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