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(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 ?
She has published over 25 articles on wound care in publications such as Journal of Family Practice, Decubitis, Dermatology Nursing, Cutis, Wounds, Journal of Enterostomal Therapy, and Clinics in Dermatology.
We believe this is the first program to use telemedicine to treat and manage decubitis ulcers in a skilled-nursing facility in the state of California and has the potential to transform healthcare delivery.
uk Progression of a decubitis ulcer Normal Skin Stage 1 Stage 2 Stage 3
The echocardiographic examination was performed at rest, with the patient at left lateral decubitis position, using a commercially available echocardiographic device (Vivid 3, General Electric) with a 3 MHz transducer, by two experienced echocardiographers who were blinded to the clinical data.
Pressure sores (or decubitis ulcers), commonly associated with immobility in the elderly, are areas of the skin and underlying tissues that erode as a result of pressure or friction and/or lack of blood supply.
In 1996, while living in the Minneapolis area, he developed a severe decubitis ulcer of the coccyx, and it progressed to stage 4 (into the bone) before anything much was done about it.
It needs to represent an image of wellness and independence while supporting weakened musculature, contributing to a decrease in the use of restraints and acting as an adjunct to decubitis prevention programs.