Today is our topic of discussion Clients Susceptible to Bedsores .
Clients Susceptible to Bedsores
Clients Susceptible to Bedsores
- Actually ill clients, whose general condition is rapidly deteriorating.
- Elderly bedridden clients who make very little move- ments in bed.
- Obese clients.
- Very thin and emaciated clients, having very little subcutaneous tissue to pad the bony prominences .
- Sedated clients who have suffered spinal cord injuries
- Paralyzed clients, who have suffered spinal cord injuries.
- Neurologic clients with lack of sensations that they cannot feel any irritation of the skin.
- Edematous clients especially those with edema of the sacrum and buttocks.
- Malnourished clients with protein and vitamin deficiencies.
- Agitated clients in restraints .
- Surgical clients with limited movements.
- Clients on complete bed rest or with limited movements.
Cause of Pressure Sores
- Direct or immediate cause: The pressure is caused by the weight of the body continuously remaining in one position, splints, casts and bandages.
- Friction: Friction of the skin with rough bedding causes injury to the skin. The friction is caused by wrinkles in the bed cloths, cramps of food in the bed, chipped or rough bed pans and hard surfaces of plaster casts and splints.
- Moisture: The skin contact with moisture for a prolong period can lead maceration of the skin
- Pressure of pathogenic organisms due to unhygienic condition pathogenic organic multiplies and infection settles on the skin.
Predisposing Factors
- Patient with long-term illness, fracture patients
- Patients with spinal injury
- Paralysis and limited movements
- Emaciated and malnourished patients.
- Elderly with circulatory problems
- Obese patients
- Edematous patients
- Patients with incontinence
- Diabetic patients with ulcers (diabetic foot).
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