Pressure ulcers also named as decubitus ulcers or bedsores are basically regarded as localized injuries that affect the skin and underlying tissue over a bony prominence due to pressure with a combination of shear and friction. They are mostly found in sacrum, heel, coccyx and hips (Pressure ulcers - what to ask your doctor, 2013). Other than this, they also affect the elbows, ankles, knee or even back of cranium. These ulcers are often found to be treatable if detected at an early stage. However, they can be difficult to treat in critically ill patients along with frail elders that are wheelchair users especially in cases where spine injury is involved (Veredas, Mesa and Morente, 2009). High treatment issues are also found in individuals who are immobile and also have a maximum probability of developing the pressure ulcers. From the statistical data released in recent years, out of 1.5 million nursing home residents, about 1, 59, 000 suffered from the problem of pressure ulcers at any stage. Stage 2 ulcer is considered to be most common that accounts for nearly 50 percent of all pressure ulcers.

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Identifying the best practice in prevention and treatment of pressure ulcer

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Pressure ulcers also named as decubitus ulcers or bedsores are basically regarded as localized injuries that affect the skin and underlying tissue over a bony prominence due to pressure with a combination of shear and friction. They are mostly found in sacrum, heel, coccyx and hips (Pressure ulcers - what to ask your doctor, 2013). Other than this, they also affect the elbows, ankles, knee or even back of cranium. These ulcers are often found to be treatable if detected at an early stage. However, they can be difficult to treat in critically ill patients along with frail elders that are wheelchair users especially in cases where spine injury is involved (Veredas, Mesa and Morente, 2009). High treatment issues are also found in individuals who are immobile and also have a maximum probability of developing the pressure ulcers. From the statistical data released in recent years, out of 1.5 million nursing home residents, about 1, 59, 000 suffered from the problem of pressure ulcers at any stage. Stage 2 ulcer is considered to be most common that accounts for nearly 50 percent of all pressure ulcers.
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Among them only 35 percent received a special wound care service that is in accordance with the practices mentioned in the clinical guidelines. These kinds of ulcers are a very serious practice and a common medical ailment in nursing homes (Verelst, Jacques and et.al., 2012). It is also a critical public health problem as it poses a financial burden on the

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health care system and also deteriorates the overall quality of physical life of patient as well as the care givers. Hence there is a need to identify the best practices that are involved in prevention and treatment of pressure ulcer. The given essay revolves around the topic of pressure ulcer. It would start with description about pressure ulcer, the underlying issues involved followed by suggestion of prevention and treatment measure for the same (Cork, 2007). The essay would end with a concluding paragraph which is a summary of key points mentioned in the paragraphs along with identification of best practice in prevention and treatment of pressure ulcer.
In order to prevent the pressure ulcer, many measures are suggested. It can be reduced by relieving the pressure on areas that are vulnerable to ulcers. In this respect, the major step is caring for intact or normal skin in the best possible manner. This involves for washing the skin with warm water and a mild soap so as to reduce any irritation and dryness that is observed in the body (Pressure ulcers - what to ask your doctor, 2013). A lotion should always be applied on body for avoiding the drying out of skin. Along with this, the clothes and bed sheet must always be kept dry by protecting the skin from sweat and urine. It is essential to check the skin on an everyday basis. In major cases the inspection should be closer at bony areas for checking of redness and any change in temperature (Arao, Shimada, Hagisawa and Ferguson, 2013). Gentle massaging of intact skin is essential as it helps in the process of circulation and provides comfort. However, it must be remembered to avoid massaging of bony areas.
Another suggested step for preventing the pressure ulcers is moving around as well as changing places in the maximum possible manner. This is a key to prevention, but if pressure ulcers are already present in the body then they can further be avoided by lying or sitting on the ulcer position (Spetz, Brown, Aydin and Donaldson, 2013). Moreover, correct sitting and lying positions must also be practiced. Along with this the time interval in which moving, bending to be carried out should also be decided. The legs ought to be supported in a manner so that they provide for a good posture in addition to proper decision about the equipments to aid in the process of moving is also required to be fixed. The position must be changed frequently to aid in the process of treatment and avoid further damage (Moyet, 2009). Above

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all, whatever method and time interval is chosen for moving and positioning must be fixed on basis of the comfort of patient so as to avoid the development of other ailments in form of body aches etc.
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