The Truth about Decubitus Ulcers Created By: Kelsey Peck What is a decubitus ulcer? A decubitus ulcer, also commonly known as a bedsore comes about from lying in one position for too long. This prevents circulation from getting to your skin, causing pressure. This in turn, causes a decubitus ulcer. http://trialx.com/curetalk/wpcontent/blogs.dir/7/files/2011/05/ diseases/Pressure_Ulcer-2.gif Who is at risk for Decubitus Ulcers? o It is most common to see elderly people in nursing homes get decubitus ulcers, due to the fact that they lay in a bed practically all day or sit in the same position daily. Smokers (dries out skin and reduces the blood flow to skin) Anorexic people (less padding on their bones and it can injure more easily and take longer to heal) http://indianapublicmedia.org/amomentofscie nce/files/2010/04/elderly-940x626.jpg http://patreiz.files.wordpress.com/2011/0 2/child-malnutrition.jpg What causes Decubitus Ulcers? Malnutrition Improper skin care Being Incontinent Friction Failure to move a patient frequently (in a nursing home) Failure to exercise http://madhusameer.files.wordpr ess.com/2010/10/anorexia-3.jpg Common Homes for Decubitus Ulcers Hips (laying on your side) Tailbones (laying on your back) Shoulders (laying on your side or resting your shoulders on the back of a wheelchair) Backs of arms or legs (Leaning on the wheelchair) Back or side of head(Laying on your back or laying on your side) Stage 1 Stage 1 Symptoms Skin is intact. Skin may be red on a paler person. Skin may appear bluish on darker skinned people. The skin that is affected may be more painful, warmer, softer, or cooler than the surrounding skin. http://img.thebody.com/legacyAssets/40/74/P2 5-1.gif Stage 2 Symptoms Stage 2-Open wound The epidermis (outer layer of skin) and the dermis (underlying layer of skin) are both damaged or lost. May appear as a shallow, pinkish-red, basin-like wound May appear as a ruptured fluid-filled blister http://img.thebody.com/legacyAssets/40/ 74/P25-2.gif Stage 3 Symptoms Stage 3-Deep wound Fat is exposed due to the loss of skin Crater-like in appearance Bottom of ulcer has some yellowish colored dead tissue http://img.thebody.com/legacyAssets/40 /74/P25-3.gif Stage 4 Symptoms Stage 4-Large Scale loss of tissue May expose bone, muscle, or tendons The bottom of the ulcer contains yellowish or dark colored dead tissue that is crusty http://www.eczemaanswers.com/images/bed_sores2.jpg Treating Decubitus ulcers Relieve the pressure that caused the sore to start with Remove the damaged tissue Reposition the person Use support surfaces such as pillows and mattresses to help the person lie in an appropriate position Surgical Debridement: removing dead tissue surgically Mechanical Debridement: removing dead tissue using things such as a whirlpool Autolytic Debridement- the body’s natural way of removing dead tissue Enzymatic Debridement-removing dead tissue using chemical enzymes Clean and dress the wound regularly The way you dress and clean the wound depends on what stage is it in. Other ways to treat decubitus ulcers • Antibiotics • Healthy diet • Muscle relaxants If your decubitus ulcers do not heal after taking the treatment measures just mentioned, your doctor may give you muscle relaxants, antibiotics, or tell you to go on a healthy diet to help treat your ulcers. How to prevent Decubitus Ulcers from forming again? Keeping your skin clean and dry prevents moisture. Changing position every two hours prevents you from putting pressure on one spot for too long. Using pillows and other products can help prevent sores by being a cushion for your body. Keeping skin clean and dry Changing position every two hours Using pillows and products that relieve pressure Facts/Statistics In 2010, pressure ulcers were the primary diagnosis in approximately 45,000 hospital admissions. Pressure ulcers were a secondary diagnosis in about 457,800 hospital admissions last year. The primary diagnoses left 1 dead in every 25 patients. The secondary diagnoses left 1 dead in every 8 patients. Works Cited http://www.nursing-home-abuseresource.com/care_center/decubitus-causes.html http://emedicine.medscape.com/article/190115overview http://www.mayoclinic.com/health/bedsores/DS00570/ DSECTION=symptoms http://www.mayoclinic.com/health/bedsores/DS00570/ DSECTION=treatments-and-drugs http://www.drugs.com/cg/how-to-prevent-pressuresores.html http://findarticles.com/p/articles/mi_hb6366/is_3_21/ai_ n31950894/