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 ?
Compensation of PS8,500 was obtained for a 67-year-old man who suffered grade-two pressure sores to both heels for a period of two months.
Obviously taking pressure off a pressure sore is the first step to treating it, but that will only keep it from getting worse, not necessarily help it get better.
Reconstructing a sacral defect caused by pressure sores or infected pilonidal cysts is a common problem for reconstructive surgeons.
Postoperatively all patients were given appropriate antibiotics for 3 to 5 days, all patients were discharged on 3rd to 7th day except for the 2 who required 2nd flap for the same pressure sore.
Ischial pressure sore reconstruction using an inferior gluteal artery perforator (IGAP) flap.
Five patients had pressure sores on admission but only 1 additional pressure sore developed in the unit.
Medicare developed a program, pay-for-performance (P4P), designed to reward providers for improving quality of care and exceeding specific benchmarks in regards to pressure sores using a national quality database known as the National Database of Nursing Quality Indicators (NDNQI) (Haberfelde, Bedecarre, & Buffum, 2005).
Compared with the reported method, the EB estimation method produced the greatest rate and ranking changes for the low-risk pressure sore (77 percent mean absolute difference in rates and 18 mean absolute difference in ranks), bedfast (74 percent rate and 35 rank change), and indwelling catheter (34 percent rate and 20 rank change) QMs.
Pressure sores are a major cause of morbidity and prolonged hospital stay.
Urinary tract infections became the most prevalent, followed by pressure sores.
Your doctor or nurse will perform a physical exam and check the condition of your pressure sore to decide how to care for it.
Mark Owen, solicitor specialising in medical negligence at Jackson Lees comments: Pressure Sores, Pressure Ulcers, Bedsores, and Blisters - These are some of the ways to describe easily prevented, but sometimes horrific injuries.