Have you ever heard of this term?
Are you looking to know more?
It has another term pressure sore, which tells injury to the skin due to the prolonged pressure on the skin. Bedsore often develops over the bony areas like hip bone, sacrum, heels, the tip of the elbow.
People who are not able to move due to some medical conditions or they spend most of their time in bed.
Bedsore can develop within days or months. Most sores heal with treatment but never get heals completely.
How to know the risk?
- Poor Nutrition: Eating or feeding difficulties, Loss of appetite due to poor physical activity, Poor digestion, and excretion.
- Bowel bladder dysfunction: This leads to poor perineal hygiene. Combination of the motor, sensory, and bladder impairment like in spinal cord injury are prone.
- Motor Paralysis: Resulting in a bodily movement or bed mobility.
- Aging: With the advancement of age, the skin becomes thin along with the reduction in tensile strength of the skin, reduction in water content, etc causes the early breakdown of the skin.
- Sensory dysfunction: loss of protective sensation that is touch, temperature, pain predisposing for bedsore.
Bedsores are caused by pressure against the skin which limits blood flow to the skin like :
- Shear force: It is an opposite force to the friction. It occurs if you move the waist, the skin over the bone might remain in the same place pulling out in the opposite direction.
- Pressure Unrelieved continuous pressure over bony prominence may lead to ischemia and subsequent cell death and necrosis.
- Friction: Friction occurs when the skin rubs against bedsheets, clothes. Skin fragility makes it prone. Skin also becomes moist due to leakage urinary leakage, etc.
- Infection can transmit into bones, cause osteomyelitis. It can reduce the range of motion. It also affects joints and ligaments.
- Septicemia is a life threatening condition when chemicals released into the bloodstream to fight infection throughout the body.
- Cancer, long term nonhealing wound can develop into a cancer.
Are you looking to prevent it?
- Education and the care you need. You can take help or can contact us.
- Avoid shear force, pressure, or trone factors.
- Frequent turning, or turning into every two hours, If the patient is bedridden.
- Use of pressure-relieving devices such as air bed, tubes, simple foams.
- Cushioning material such as microcellular rubber, silicone gel sheath.
- Bed mobility exercises such as bridging, rolling over, etc.
- Usage of pillows, towels, wedges in weight-bearing areas to position a patient.
Grades of bedsore to determine severity –
- 0 – intact skin
- 1 – superficial ulcer
- 2 -deep ulcer
- 3 – abscess formation
- 4- local tissue
- 5- Gangrene of entire area
- Supportive supplements as Iron, protein, vitamin C.
- Antibiotics ( only if required).
- If the wound has depth, the Patient has to go for surgery such as skin grafting to close the defect.
Prevention of bedsore
- Ensure early mobilization of bedridden.
- Therapeutic standing / Physiological standing
- Electro-therapy modalities such as LASER, IRR, US, etc.