Treatment of pressure sores and pressure ulcers

1. TREATMENY OF
PRESSURE SORES
BY
Mrs. Sukhwinder kaur

2. Treatment of pressure sores/ulcers
• Treatment options for pressure ulcers
(sores) typically include regularly
changing your position, using special
mattresses to reduce or relieve pressure,
and dressings to help heal the ulcer. In
some cases, surgery may be needed.

3. CHANGING POISTOPNS
• Moving and regularly changing your position helps to
relieve the pressure on ulcers that have already
developed. It also helps prevent pressure ulcers
developing.
• After your care team has carried out an assessment of
your risk of developing pressure ulcers, they will draw
up a repositioning timetable. This states how often
you need to move, or be moved if you're unable to
do so yourself.

4. CHANGING POSITIONS
• For some people, this may be as often as once every
15 minutes. Others may need to be moved only once
every two to four hours.
• You may also be given training and advice about:
• correct sitting and lying positions
• how you can adjust your sitting and lying positions
• how best to support your feet to relieve pressure on
your heels
• any special equipment you need and how to use it

5. MATTRESSES AND CUSHIONS
• If you're at risk of getting pressure ulcers or have
a minor ulcer, your care team will recommend a
specially designed static foam or dynamic mattress.
• If you have a more serious ulcer, you will require a
more sophisticated mattress or bed system, such as a
mattress connected to a pump that delivers
a constant flow of air into the mattress itself.

6. DRESSING
• Specially designed dressings can be used to protect
pressure ulcers and speed up the healing
process.These dressings include:
• Alginate dressings – these are made from seaweed
and contain sodium and calcium, which are known to
speed up the healing process.
• Hydrocolloid dressings – contain a special gel that
encourages the growth of new skin cells in the ulcer,
while keeping the surrounding healthy skin dry.

7. ALGINATE DRESSING

8. HYDROCOLLOID DRESSING

9. CREAMS AND OINTMENTS
• Topical antiseptic or antimicrobial (antibiotic) creams
and ointments aren't usually recommended for
treating pressure ulcers.
• But barrier creams may be needed to protect skin
that's been damaged or irritated by incontinence.

10. ANTIBIOTICS
• Antibiotics may be prescribed to treat an infected
ulcer or if you have a serious infection, such as:
• Blood poisoning (sepsis).
• Bacterial infection of tissues under the skin (cellulitis).
• Infection of the bone (osteomyelitis).

11. OSTEOMYELITIS

12. SEPSIS AND CELLULITIS

13. REMOVING DAMAGE TISSUE
(DEBRIDEMENT)• In some cases, it may be necessary to remove dead
tissue from the pressure ulcer to help it heal. This is
known as debridement.
• If there's a small amount of dead tissue, it may be
removed using specially designed dressings.
• Larger amounts of dead tissue may be removed
using:
• high-pressure water jets
• ultrasound
• surgical instruments, such as scalpels and forceps

14. DEBRIDEMENT

15. SURGERY
• Severe pressure ulcers might not heal on their own.
In such cases, surgery may be required to seal the
wound, speed up healing, and minimise the risk of
infection.
• Surgical treatment involves:
• cleaning the wound and closing it by bringing the
edges of the ulcer together
• cleaning the wound and using tissue from healthy
skin nearby to close the ulcer

16. SURGERY
• Pressure ulcer surgery can be challenging, especially
because most people who have the procedure are
already in a poor state of health.
• Risks after surgery include:
• implanted skin tissue dying
• blood poisoning
• infection of the bone (osteomyelitis)
• abscesses
• deep vein thrombosis
• Ask your surgeon about the benefits and risks of
surgery if it's recommended for you.

17. DEEP VEIN THROMBOSIS

18. ABSCESSES

19. THANK YOU