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Bedsores in bed patients than to treat at home?

Pressure ulcers - damage to soft tissues, formed as a result of their necrosis (necrosis) under the action of constant pressure and other related factors. Death occurs when external pressure on the skin exceeds the pressure in small vessels of soft tissues.

In the pathogenesis of the disease is a violation of blood circulation and lymphatic drainage. The flattened area ceases to receive the proper amount of blood, and with it the oxygen necessary for cellular respiration.

In addition, at the site of compression, there is stagnation of fluids and accumulation of waste products by cells that become toxic to tissues. Gradually, this leads to necrotic processes.

Bedsores in bedridden patients

Bedsores usually develop in seriously ill patients who are lying down. But this is not the only condition for their education. There are a number of predisposing factors that trigger the necrotic process of formation of bedsores in bedridden patients:

  1. The patient is in the same position for a long time, when the pressure of his own body on the bed falls on the same points of contact.
  2. Rough bedding, crumbs and folds in bed. Untimely bed linen change.
  3. Clothes on the patient from rigid materials with the presence of solid objects (buttons, locks, beads, etc.).
  4. Nervous diseases for which sensitivity is reduced.
  5. Increased or reduced body weight of the bed patient.
  6. Malnutrition, inadequate water intake.
  7. The presence of diabetes . In diabetes, the microcirculatory circulation suffers.
  8. Poor care for seriously ill patients, untimely change of linen and diapers, because of which the skin has a long contact with urine and excrement.
  9. High or low body temperature.
  10. Too dry skin or, conversely, excessive sweating.


Classification of bedsores

Stage 4 bedsores

The formation of pressure sores occurs in several stages.

  • Stage 1 - a bedsore looks like a red spot on the skin that does not change its color, even if the pressure on this area is stopped. This is the easiest stage when the damage does not spread beyond the skin.
  • Stage 2 - necrosis spreads to the subcutaneous fatty tissue. Place the bedsore bright red color, there is a detachment of the skin on this site.
  • Stage 3 - the muscles are involved in the pathological process. The bedsore looks like a wound - bright red muscle tissue is visible at the bottom of the wound. A clear liquid can be released from the wound.
  • Stage 4 - the most neglected. Necrosis applies to all layers of soft tissue. A bedsore is a deep wound that exposes bones, cartilage, tendons.

The first two stages are still amenable to conservative treatment, whereas with the last two, treatment is carried out only by surgery. Stage 3 and 4 are often accompanied by the addition of a bacterial infection. In this case, purulent inflammation joins: the wound is filled with pus, has a dirty-green tint, exudes an unpleasant smell.

Treatment of pressure sores at home

Treatment of pressure sores at home

Treatment of pressure sores in bedridden patients is very difficult, takes a lot of time and is quite expensive.
The most favorable, with regard to a positive result in treatment, is the initial stage, when changes in the tissues are minimal and the bedsore is a red colored skin.

Unfortunately, it is not always and not all that helps to recall this stage and start the therapy. Often the bedsores in this stage go unnoticed. Especially if the person is at home, and not under the supervision of doctors. People who have never seen them may regard the first stage as a manifestation of an allergy, a bruise, or just rubbed.

It is possible to treat bedsores in bed patients at home only in the first two stages of development. The third and fourth are treated in a hospital by surgery. The use of ointments, creams and folk recipes in these cases can only harm.

The wound is so deep that the introduction of microbes into it, together with medicines, promotes blood poisoning and the development of sepsis. Sepsis in a bed patient may result in death.

Treatment of bedsores of the first and second stage in bedridden patients at home should be carried out by the means advised by the doctor.

The principles of treatment are to create the following conditions:

  1. Relieving pressure from stagnation for the entire period of treatment.
  2. Improving the blood supply to the damaged area.
  3. Starting regeneration.
  4. Prevention of secondary infection.
  5. Pain relief.

In connection with these principles, groups of drugs have been developed:

  • Ointments (Iruksol, Levomekol, Bepanten, Methyluracil, Solcoseryl).
  • Creams (Argosulfan-cream, Menalind).
  • Solutions (chlorhexidine, furacillin, silver solutions).

Do not recommend using folk remedies in the treatment of pressure sores.

  1. First, in such recipes are used medicinal plants that can cause allergies in a seriously ill patient. His weakened body can not withstand such a load.
  2. Secondly, using non-sterile solutions and ointments prepared at home is an additional risk of infection in the wound.

Complications of pressure sores

Inattention to the bed patient can cost you a human life. Pressure ulcers are a dangerous and intractable disease.
Possible complications of bedsores:

With advanced stages, amputation of the extremities is often required, and a significant loss of blood or the spread of infection in the bloodstream is fatal. Often, severe patients die from complications, and not from the underlying disease.

Prevention - more reliable than cure!

Prevent the formation of pressure sores is much easier than cure. This has long been known to physicians, because since the time of Hippocrates, stagnation has been tried by various methods, most of which have failed.

Modern medicine has developed enough preventive methods that allow bed patients to keep the skin intact.

Prevention of pressure sores in a bed patient is carried out as follows:

  1. Every two hours the patient should be turned over in bed.
  2. Use clothes made of soft fabrics, bedding should be carefully straightened and ironed, so as not to form folds.
  3. Under the sacral area enclose inflatable rubber wheel, which can be purchased at the pharmacy and specialized departments.
  4. Use special mattresses against bedsores. Water, air, hay, foam balls can act as a filler in them.
  5. To carry out a toilet of integuments of the bed patient. Now a huge number of special hygienic products have been developed that are used even without water - these are shampoos, napkins, lotions and gels for washing the body. Specially designed formula allows you to apply them in conditions where there is no opportunity to wash the patient in the shower or bath. The foam is applied to the hair or body, absorbing dirt and dead cells, then removed with a towel.
  6. Use massage treatments.
  7. An important factor is the nutrition of the seriously ill patient. For the prevention of pressure sores, doctors advise to consume large amounts of protein.

Prevention of pressure sores - the process is time consuming, but the treatment of an already developing disease is even more difficult. In pharmacies today there are many products that facilitate the care of bed patients. However, it is worth noting that the prices of these devices are far from low.


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