decubitus ulcer
DESCRIPTION
DECUBITUS ULCER. Definition – areas of the skin that become broken and painful caused by continuous pressure. Also called: Pressure Sores Bed Sores. Causes of Decubitus Ulcers:. Pressure Friction Lack of Cleanliness – sweat, urine, feces, wound discharge, soap left on skin. - PowerPoint PPT PresentationTRANSCRIPT
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DECUBITUS ULCER
Definition – areas of the skin that become broken and painful caused by continuous pressure.
Also called:Pressure SoresBed Sores
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CAUSES OF DECUBITUS ULCERS:
1. Pressure2. Friction3. Lack of Cleanliness – sweat, urine,
feces, wound discharge, soap left on skin
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CAUSES OF DECUBITUS ULCERS:Pressure results from:4. Obesity5. Casts / Splints6. Bandages7. Wrinkles in sheets8. Staying in one position too long9. Shearing force – skin rubbing on
sheets
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SYMPTOMS:Pressure causes: Decrease in circulation
Increase in heat & moisture Heat
Redness (Erythema)
Tenderness
Discomfort / Burning
Broken skin
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SERIOUS & DIFFICULT TO CURE!
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STAGES OF DECUBITUS ULCERS
w.pele.com.tw/image/stage.jpghttp
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DECUBITUS ULCERS FREQUENTLY OCCUR OVER BONY PROMINENCES:1. Shoulders2. Elbows3. Hips4. Sacrum5. Heels6. Ankles7. Toes8. Ears9. Breasts
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DECUBITUS OF FOOT
http://www.univie.ac.at/cga/courses/be528/pressure/24820034.jpg
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DECUBITUS ON BUTTOCKS
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SACRAL DECUBITUS ULCER
Below is the image at: meded.ucsd.edu/.../skin_decubitus_ulcer.htm
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http://www.epuap.org/aberdeen/images/horch2.jpg
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DECUBITUS OF THE FOOT
http://www.skinsight.com/images/dx/webAdult/pressureUlcerDecubitusUlcer_45753_lg.jpg
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PREVENTION IS THE KEY!!1. Assure clean, wrinkle-free linen2. Encourage activity3. Turn bed-bound patients every 2 hours4. Massage around reddened areas5. Provide back rubs6. Keep skin clean and dry7. Assess skin – report changes promptly8. Limit time on bedpan
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WHAT NEEDS TO BE DONE HERE?
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PREVENTION DEVICES THAT REDUCE PRESSURE:
Egg-crate foam
Sheepskin
Alternating pressure air bed
Flotation mattress
Turning bed
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SHEEPSKIN MATTRESS PAD
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http://www.universalmedicalinc.com/patient-positioning/gel-positioners?gclid=CKSyv5OvsZ8CFRBGagodCWYBlA
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AIR – PRESSURE MATTRESS
http://www.ilcaustralia.org/images/ACT/2114008.jpg
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HTTP://WWW.LINET.COM/DATA2/DEP_5/IMAGE003(3).JPG
TURNING BED
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SPECIAL SKIN CARE NEEDS OF THE ELDERLY
1. Dryness, less elastic skin (decreased oil gland function/soap left on
skin)2. Skin less nourished - thin (decreased circulation) 3. Bed Bound – Immobility - Skin pressure
- Rubbing on sheets- Sheets soiled / wrinkled
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TREATMENT:
Relieve pressure on reddened area
Gentle massage around area – not directly on it
Special dressings: (Opsite / Transderm)
Lights to wound
Surgery if extensive ulcer