Today is our topic of discussion Curative Measures Based On Degrees of Pressure Sore.
Curative Measures Based On Degrees of Pressure Sore
First degree: Detect the early signs and symptoms of bedsore and report them to the sister in charge and the doctor. Carry out all the preventive measure with special care to prevent extension of bedsore and further occurrence of pressure sores While giving back care/massage, do not over the reddened or inflamed area itself but start just outside the affected area and move outwards in a circle using circular motion.Consult the doctor for further treatment.
Second degree: If the pressure sore is blue or mottled insensitive, circulation cut off gangrene develops or epidermis breaks.
The treatment included:
- Inform and report to the ward sister and physician
- Prevent the ulcerated area from infection
- Use normal saline for cleaning the area
- Sloughing is more; use hydrogen peroxide solution also for cleaning, cut off the slough
- Apply heat for healing of the wound.
- Use 100 watt electric bulb for 10 minutes
- Apply zinc oxide ointment on the surface of the wound.
Third degree: If the bedsore is suppuration and sloughing occurs which may burrow right down to the bones.
- Inform and report to the ward sister and physician
- To treat infection, apply soframycin ointment locally and give systematic antibiotics after culture and sensitivity
- Provide nutritious diet (High in protein and vitamins)
- sunlight and fresh air
- If slough is present, clean the wound with hydrogen peroxide twice daily if the slough is loose, it may be cut off
- If there is delay in wound healing, skin grafting can be done.
After Care
- Place the patient in comfortable position.
- Use proper and adequate comfort devices .
- Change the patient’s position at frequent intervals.
- Remove the articles from the bedside and replace it in a proper place Hand washing.
- Recording and reporting-date time, type of pressure sore and treatment in the nurses record.