Pressure ulcers (pp 198 200)

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bedsores

Pressure Ulcers (pp 198-200)
• AKA decubitus ulcers, bedsores
• Causes include 1. immobility 2. incontinence 3. friction
• 4. shearing 5. poor nutrition and hydration
• Prevention 1. turn and reposition every 2 hours 2. use drawsheet,
powder to decrease friction 3. keep skin clean and dry 4. keep in low
fowlers except during meals 5. feed and hydrate 6. wrinkle free bed

Stages p.199
• Stage one- discoloration, redness
• Stage two- blister
• Stage three-epidermis and dermis gone, open wound
• Stage four- bone, fat, muscle visible
• BONY PROMINENCES SHOULD BE LOTIONED EVERY DAY
• Elbows, shoulders, knees, ankles, hips, back, wrist, heels

Pressure relieving devices,
• Heelbows/elbow protectors
• Foot elevators
• Drawsheet
• Specialty mattresses
• Lambswool, sheepskin pads
• Bed cradle

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