Bedsore management

1.Patient has to be mobilised manually by another person atleast five times daily. 2.Daily dressing of the bedsore using sterile precautions atleast two times a day.Keep the bed sore always closed. 3.Waterbed can be used to prevent bedsore formation in other sites. 4.Pain killer and antidbiotics can be used as prescribed by the doctor. 5.If the bedsore is very big it can be closed by a skin flap after proper preparation of the bedsore site. It will be done by a surgeon. Contact your near by surgeon. Bed sore or Decubitus ulcer is due to prolonged pressure on the bony prominence.This will cause serious complications and interferes with the ongoing treatment process.Hence prevention is very important. Area where Pressure ulcer commonly occurs: 1.Back of the head 2.Spine of scapula(shoulder blade) 3.Sacral region 4.Heel 5.Greater trochanter(hip) 3.knee 4.Lateral malleoli(ankle) You haven't mentioned about the stage of ulcer whether soft tissue or bone is exposed.There are many stages and it determines the kind of treatment. Stages of pressure ulcer: According to National Pressure Advisory Panel,Pressure ulcer can be divided into 4 stages. Stage 1:Non Blanchable Erythema Stage 2:partial thickness skin loss Stage 3:full thickness skin loss Stage 4:full thickness skin loss with bony exposure. Treatment for each stage: TREATMENT FOR STAGE 1 AND 2: 1.Both stages require frequent turning of the patient atleast every 2 hours. 2.Use of alpha bed or water bed. 3.Drinking plenty of water 4.Protein rich diet is very much needed for healing process. 5.Ice therapy(cryotherapy)can be given at the edge of ulcer with precautions 6.Infrared therapy can be given at the site of ulcer under the guidance of physiotherapist. TREATMENT FOR STAGE 3 and 4: 1.In addition to the above treatments sterile dressing should be provided. 2.If there is severe bony exposure or if conservative treatment fails then surgery is the only option. 3.If left untreated then it will spread in blood causing Osteomyelitis and sepsis.