Common Sites Liable To Get Bedsore

Common Sites Liable to Get Bedsore

In supine position: Occiput, scapula, sacral region, hips and elbow
In side lying position: Ears, acromion process of shoulder, ribs, greater trochanter of hips medial and lateral condyles of knee and malleolus of ankle joint
In prone position: Ears cheeks acromion process, breast in female genitalia, knees and toes

Clinical Manifestation of Pressure Sore

Redness, heat, tenderness, and discomfort in the area.
The area becomes cold to touch and insensitive.
Local edema..
Later, the area becomes blue, purple of mottled.
Due to continued pressure that circulation is cut off, the gangrene develops and affected area is sloughed.

Preventive Measure of Bedsore

Confirm the high-risk patients and daily examination for the signs and symptoms.
Relieve pressure by using special mattress, beds and comfort devices .
Change position and giving back care four times a day for all bedridden patients.
Loosening tight bandages and restraints.
Avoid friction by providing smooth, firm and wrinkle free bed, keep the bottom clothes free from crumbs and foreign bodies Prevent moisture by changing linen when, it is wet or soiled.
Giving back care to patients immediately following micturition and defecation
Avoid mechanical or physical injury to the skin from improper fitting of prosthesis or from burns caused by excessively hot or cold applications
Use a bed cradle to lift the weight of bed linen off the patient to enable him or her to move in bed freely
Supply well-balanced diet and adequate fluids to maintain general health of the patient.

Stages/Degree of Pressure Sore Based on

The early symptoms of pressure sore are redness, tenderness, discomfort and smarting. The area becomes cold to touch and insensitive. There is local edema. Later the area becomes blue, purple or muted. Due to continued pressure, the circulation is cut off, the gangrene develops and the affected area is sloughed off.

Clinical Manifestations

First degree: The skin is red, tender, inflamed and painful.

Second degree: The skin is blue or mottled insensitive, circulation cut off, gangrene develops and epidermis breaks.

Third degree: Suppuration and sloughing occurs which may burrow right down to the bones.

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