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#1
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09-26-2009, 01:19 PM
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Bedsores (Decubitus Ulcer)
Bedsores (Decubitus Ulcer) Bedsores, more properly known as pressure ulcers or decubitus ulcers, are lesions caused by many factors such as: unrelieved pressure; friction; humidity; shearing forces; temperature; age; continence and medication; to any part of the body, especially portions over bony or cartilaginous areas such as sacrum, elbows, knees, ankles etc. Although easily prevented and completely treatable if found early, bedsores are often fatal – even under the auspices of medical care – and are one of the leading iatrogenic causes of death reported in developed countries, second only to adverse drug reactions. Prior to the 1950s, treatment was ineffective until Doreen Norton showed that the primary cure and treatment was to remove the pressure by turning the patient every two hours. Infection has one of the greatest effects on the healing of a wound. Purulent discharge provides a breeding ground for excess bacteria, a problem especially in the immunocompromised patient. Symptoms of systemic infection include fever, pain, erythema, oedema, and warmth of the area, not to mention purulent discharge. Additionally, infected wounds may have a gangrenous smell, be discoloured, and may eventually exude even more pus. ![]() In order to eliminate this bioburden, it is imperative to apply antiseptics and antimicrobials at once. It is not recommended to use hydrogen peroxide for this task as it is difficult to balance the toxicity of the wound with this. New dressings have been developed that have cadexomer iodine and silver in them, and they are used to treat bad infections. Duoderm can be used on smaller wounds to both provide comfort and protect them from outside air and infections. It is not recommended to use systemic antibiotics to treat infection of a bedsore, as it can lead to bacterial resistance. More info. |
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#6
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09-27-2009, 07:54 AM
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Re: Bedsores (Decubitus Ulcer)
My grandma used to "survive" apoplexia for over 5 years in a hospital for old people. Now I can understand why the smell in the sickroom (3 beds, 3 coma patients) was so gangrenous! The fucking nurses DID NOT turn her over any 2 hours, although that hospital was considered one of the best places for old people and the "therapy" almost sucked all the inheritance!
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