Bedsore

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bedsore

[′bed‚sȯr]
(medicine)

Bedsore

 

(also decubitus ulcer), the necrosis of soft tissues resulting from constant pressure and accompanied by circulatory and trophic nerve disorders. Bedsores develop in persons confined to bed for a prolonged period, for example, in elderly patients with fractures, in patients with diseases of the central nervous system, and in patients with traumas of the spinal cord.

Bedsores form in the region of the sacrum, shoulder blades, heels, or elbow joints. The skin, which is the superficies of the bedsore, is affected, as is the subcutaneous cellular tissue that contains muscles. A deep subcutaneous bedsore is dangerous in that it can result in an infected wound and intoxication. A bedsore may develop because of pressure on the skin from a plaster cast or from an orthopedic prosthesis or apparatus. It may also develop on the mucosa of the mouth because of pressure caused by dental prostheses.

Treatment of bedsores includes ultraviolet irradiation, administration of potassium permanganate solutions, application of dressings, use of general analeptic measures, and less frequently, surgery. Prophylaxis includes good care of the skin, for example, by rubbing, and a regular change of linens, and the use of bedpans and special pneumatic massaging mattresses. It is also important occasionally to shift the patient’s position in bed.

References in periodicals archive ?
A bedsore is caused by reduced blood supply to a 'pressure area' such as the back of the head, buttocks or heels.
candidate Miriam Theilla at the Rabin Medical Center, he designed a randomized experiment to determine the impact of dietary fish oil supplements on the bedsores of critically ill patients.
She was re-admitted to hospital when the bedsore became severely infected but tragically died just a few days later.
Large scale mats could be used in hospital beds to alleviate bedsores there, and it's possible that the sensor mat could find its way into car and truck seats to reduce the lower back strain brought about from driving long distances.
She said: "Thousands of nurses are losing their jobs and this could lead to a rise in the number of patients with bedsores.
During direct examination, when Freed's counsel asked Nurse Pershall her opinion as to the cause of Freed's bedsores, Geisinger objected, and the trial court sustained the objection on the basis that Pershall was not a medical doctor and, therefore was not qualified to give a medical diagnosis.
Further, the court addressed the defendants' contention that because its expert medical witness opined that the patient did not suffer any bedsores, or skin breakdown while a patient at the defendant's facility, the plaintiff's expert medical witness, hospital records and deposition testimony.
Further, the plaintiff presented testimony from a Registered Nurse who, testifying as a nursing expert, stated that after the patient's bedsores were diagnosed, the patient was not turned for periods ranging from three to eight hours.
1, 2008, Medicare will stop paying hospitals to retrieve surgical tools or sponges left in a patient after the initial operation; for infections caused by prolonged use of catheters in the bladder or blood vessels, or a surgical site infection after coronary artery bypass surgery; for treating bedsores developed in the hospital or injuries caused by falls in the hospital; or for giving a patient an incompatible blood type or an air embolism.
In the US, the number of patients who suffer injury, disease or death from medical mistakes, sloppy paperwork or even inappropriate secondary care (such as bedsores, abuse or poor transfers) is appalling.
Benkle suffered severe bedsores that became infected and led to her death.
Hatch[R] ShearStop[TM] Elbow and Heel Pads with LiquiCell[R] technology help prevent bedsores by reducing both pressure and shear stress (the primary causes of decubitus ulcers) through constant liquid flotation and soft foam padding.