Bed sores is defined as a tropic ulcer with bone as the base . It is non mobile, deep, punched out ulcer. It is common in old age, bedridden, tetanus, patients with orthopedic and head injuries, diabetic
3. BEDSORE
DEFINITION
• Bedsore is a trophic ulcer
with bone as the base. It is
nonmobile, deep, punched
out ulcer.
COMMON
• Old age
• Bedridden
• Tetanus
• Patients with orthopaedic
and head injuries
• Diabetic
• Paraplegic
• Comatose
4. SITES
• Sites of bedsore are occiput
• Heel
• Sacrum
• Ischium
• Scapula
FACTORS
• Malnutrition
• Pressure
• Anaemia
• sensory loss
• moisture
TREATMENT
• Changeof positions is
alwaysencouraged.
• Use of waterbed, ripple
bed is advised.
• Moisture has to be
avoided.
• Soaking by urine, sweat,
pus, and faeces has to be
takencare off.
• Good nursing, regular
dressing, good nutrition
are necessary.
5. • Antibiotics, blood
transfusions are very
essential.
• Excision of dead tissue
followedby skin grafting or
local rotation flaps may have
to be done.
• Rehabilitation.
Water bed
6. REFERENCE
1. SRB's Manual of Surgery
by SriramBhat M
2. A Manual on Clinical
Surgeryby Das
3. A Concise textbookof
Surgeryby Das