protocols in pressure ulcers?
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What about them?
IF you go to the W.O.C.N. association webpage you can find the national standards for caring for pressure ulcers.
The biggest thing in pressure ulcers is preventing their occurence.
A pressure sore (bed sore) is an injury to the skin and nearby tissue. Constant pressure on an area of skin reduces blood supply to the area and eventually causes cell death, breakdown of the skin, and development of an open sore (ulcer). Pressure sores are more likely to develop if you or a person you are caring for is hospitalized or confined to a chair or bed.
Pressure sores most often develop on the skin over bony areas where there is little cushion between the bone and the skin. The majority of pressure sores develop on the lower part of the body, including over the tailbone and on the back along the spine, on the buttocks, and on the heels. Other commonly affected areas are the back of the head, the backs of the ears, the shoulders, elbows, and ankles, and between the knees where the legs rub together.
Pressure sores can range from mild reddening of the skin to severe tissue damage that extends into muscle and bone. These sores are difficult to treat and slow to heal. Complications, such as bone, blood, and skin infections, can develop when pressure sores do not heal properly.
Treatment focuses on preventing a sore from getting worse and on restoring healthy skin. Treatment includes:
Relief of pressure on the area by changing positions frequently and distributing body weight evenly with special mattresses or other support.
Washing a pressure sore daily with saline solution, which cleans and moistens the sore.
Providing a nutritional diet with adequate protein to promote healing.
Keeping unaffected tissue around a pressure sore clean and dry.
Removing dead tissue and applying medicated ointments or creams to reduce the risk of infection.
Methods that may be used to help keep the wound clean and promote healing include whirlpool baths, ultraviolet light therapy, and ultrasound therapy.
If infection develops, antibiotic treatment is necessary. Severe pressure sores may require surgical repair.
There is a criterion used in many hospitals to standardize the evaluation of the risk one has for a pressure ulcer, and it's called the Braden scale.
The diagnosis of the seriousness of a pressure ulcer ranges from stage 1(epidermal reddening) to stage 4 (tissue damage, right down to the bone).
thats a good question, but i dont think you should look for the answer on yahoo, ask yourself that question good luck!
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