Pressure ulcers, a condition common in patients who have problems with mobility.Catatonic own The skin is pressed for a long time continuously. The blood can not flow to the skin is crushed easily. As a result, the skin looks as redness and cracking of skin damage. If you do not receive preventive care, early stage will result in pressure ulcers as a consequence.The incidence of pressure ulcers will result in a patient suffering. Treatment of Complicated Cost increase And affect the mind of the patient.
 Risk factors that cause ulcers caused by two factors.
1. Internal factors
- The increasing age the subcutaneous fat layer thinner. Skin fragility Easily torn
- Patients with impaired mobility.Such as paralysis patients
- Obese fat tissue, causing the patient's blood circulation is poor.
- Patients thin tissue causes compression of the bone more.
- Lack of nutrients, especially protein.
- Old diseases such as diabetes, kidney failure, cancer patients, etc.
2. External factors
- Pressure to interrupt oxygen and nutrients to tissues. If the patient is not moving Will result in ischemic tissues, especially in the bones. It took more downforce
- Fluid shear force or The patient is sitting or lying down. Flow by the force of gravity. The blood flow to the damaged area.
- Friction is the force that caused the patient is exposed to the outer surface of the skin abrasions. Such as moving patients By pulling drag, skin abrasions, ulcers.
- The wet of sweat, urine, feces, skin rot easily.
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 The prevention of pressure ulcers. |
The Prone
- It should be replaced at least every two hours prior to any part of a load for too long. If you change the skin and redness does not disappear within 30 minutes before he could be considered to replace them more often. The rotation will change as the lie lie lie left-right rotation.
- The lie should be semi-supine sleep pillow long been used throughout the body. Including the hip, knee, ankle, should make an angle of 30 degrees and a pillow on the bones and the ear.
- The lie should be put a pillow between the knees, ankles, and the second leg of the second leg and the second leg so the foot does not hit the ground after floating mattress.
- Before head held higher than 30 degrees, but if you need to feed your head high.After feeding 30 minutes - one hour should be lowered to 30 degrees.
- The wheelchair Always leave a cushion butt And encouraging change in body weight. Or lift buttocks hanging out, sitting area every 30 minutes.
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The device reduces the pressure
- The device reduces the pressure on such a mattress made of foam, gel, air, water, pillows and so on.
- The device reduces the pressure switch as an electric air mattress.
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Skin Care
- Patients with dry skin Avoid using hot water. After cleaning, apply a body lotion 3-4 times / day to prevent dry skin.
- Patients not controlled excretion. Clean all With excretion And pat dry gently
- Apply Vaseline or Zinc paste thick skin around the anus, buttocks, cheeks, the two sides to prevent dry skin.
- Promote the movement of the body by exercise.
- Beware of accidents such as bumps on the skin, sharp and so on.
- The airy environment. In order not to damp skin
- Avoid massaging the bones, especially with redness. It makes the flow decline.
- Avoid using hot compresses to the skin with a small or weak.
- Care sheets are clean, dry And always smooth To reduce the moisture and reduce friction.
- Smooth drape Avoid lay seam shirt. And tie a knot in the skin to relieve pressure.
- Do not massage or a hot pack or use soap on the skin with redness.
- Do not use the blower secondary loop around the bone due to poor blood supply caused wounds. Do not use gloves to put water in the secondary bone. You may be allergic to latex
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move
- Movement Patients should not use the lift to drag. Do not move alone if the patient can not help themselves.
- While moving through the use of a wheelchair. Wear shoes at all times. And fasten the straps together to prevent accidents from falling while moving.
- Patients who can not help themselves should not be in a sitting position for more than one hour.
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nutrition
- If the patient eat or not eat, should consider wearing feeding tube.
- Should add protein to promote wound healing, such as milk, eggs, meat.
- Vitamin C, such as citrus fruits, fresh vegetables, affecting wound healing.Boosts immunity And prevent tissue damage
- Vitamin include milk, eggs, green leafy vegetables such as kale helps wounds heal faster.
- Zinc such as oysters, mussels, sunflower seeds In protein synthesis Build collagen
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