Bed sores


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is a program that produce simple information about bed sores and nursing implementation for it

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Bed sores

  1. 1. objective* introduction* etiology* location* stages* nursing implement*
  2. 2. At the end of this seminar you will be able : to (. Identify the pressure ulcer (bed sores* . Determined the pressure ulcer sites* . The stages of ulcer* The nurse implements measures*
  3. 3. Pressure sores , also known as decubitus ulcer , occur ….when capillary blood flow to the area is REDUCED This may happen when the skin over a bony prominence is compressed between the weight of the body and AN external surface for a prolonged period
  4. 4. Stage1 Stage1 pressure sores are characterized by redness of the skin . The reddened skin of a beginning pressure sore fails to resume its normal color , or blanch , when pressure is relieved
  5. 5. Stage2 Astage2 pressure sore is red and is accompanied by blistering or a shallow break in the skin , sometimes descried as a skin tear .impairment of the skin leads to microbial colonization and infection of the ..wound
  6. 6. Stage3 Pressure sores classified as stage 3 are those in which the superficial skin impairment progresses to shallow crater that extends to the subcutaneous tissue.stage3 pressure sores may be accompanied serous drainage from leaking plasma or purulent drainage .(white or yellow –tinged fluid) caused by a wound infection. although a stage3 pressure sore is as significant wound >the area is relatively PAINLESS
  7. 7. Stage4 Stage4 pressure sore are the most traumatic and life threatening. The tissue is deeply ulcerated. exposing muscle and bone .the dead tissue produces rank odor
  8. 8. Local infection ,which is the rule rather than the exception ,easily spread throughout the body .causing a potentially fatal condition referred to as sepsis Once he or she has identified at risk clients .the nurse implements measures that reduce conditions under which pressure sores are likely to : form . Some example are se follow
  9. 9. turning and repositioning the client frequently* keeping client skin clean and dry* massaging bony prominences if the client skin blanches with pressure * relief using a moisturizing skin cleanser rather than soap * applying pressure-relieving devices to the bed and chairs * padding body area that are subject to pressure and friction * avoiding shearing physical force that separates layers of tissue in * opposite direction , such as when a seated client slides downward perform passive ROM CARE*
  10. 10. A dressing promotes healing by keeping a wound moist, creating a . • barrier against infection and keeping the surrounding skin dry. A variety of dressings are available, including films, gauzes, gels, foams and various treated coverings. A combination of dressings may be used. Your doctor selects an appropriate dressing based on a number of factors, such as the size and severity of the wound, the amount of discharge, and the ease of application and removal
  11. 11. Removing damaged tissue To heal properly, wounds need to be free of damaged, dead or infected tissue. Removing these tissues (debridement) is accomplished with a number of methods, depending on the severity of the wound, your overall condition and the treatment . goals