Tweet What Is It? Bedsores, also known as decubitus ulcers or pressure ulcers, are skin lesions caused by prolonged pressure on different areas of the body typically seen in invalids as a result of prolonged bed rest or inactivity. Although a bedsore begins as a skin lesion, it can ameliorate to affect large and deep areas of tissue, even reaching the bone.
Research supports the importance of protein, vitamin C and zinc in wound healing. Chronic wound healing requires a multidisciplinary and holistic approach. Early identification of at-risk patients is vital for the prevention and exacerbation of pressure sore development.
Wound healing involves complex physico-chemical interactions that require various micro and macronutrients at every stage.
The relationship between malnutrition and pressure sore development is well documented. Clinical manifestations of malnutrition include weight loss and compromised immune function.
Both underweight and obese individuals can be malnourished. A high incidence of weight loss, low body mass index, malnutrition and poor visceral protein status are reported nutritional factors associated with pressure ulcer development in long-term care patients.
A primary objective for healthcare professionals should be to recognise the risk factors for undernutrition in such patients and to try to maximise their nutritional status if possible. Hyperglycaemia associated with sepsis and poorly controlled blood sugars is known to increase the incidence of infection, thus impeding the wound-healing rate.
Protein Protein depletion adversely affects healing. Sufficient dietary protein optimises the rate of wound healing. A wound may lose up 90gg protein, via the exudate per day, thus protein requirements in these patients may be twice the normal protein requirement. Specific amINO acids including arginine are known to play a role in wound healing.
Hypoalbuminaemia is reported to be significantly related to the incidence of pressure sores and may predict poor wound healing. Studies report that patients with stage IV ulcers are the most malnourished and have the lowest serum albumin levels. However, it is important to note that the albumin level is not a specific marker of nutritional status since serum albumin can be reduced in a variety of disease states and injury, independent of the patients nutritional status.
Zinc Zinc plays a central role in the enzyme-catalysed reactions of protein synthesis. Zinc deficiency inhibits wound healing by reducing the rate of epithelialisation and cellular proliferation, thus impairing wound strength.
Supplementation with zinc reverses these defects and enhances wound repair in individuals who are already biochemically zinc deficient. Patients with poor wound healing and normal zinc levels show no improvement with zinc supplementation.
Checking biochemical levels pre-supplementation is therefore ideal. Recommended daily allowance ranges between 7mg Zinc is found in seafood, meats, liver, milk, eggs, wheat germ and whole wheat bread.Decubitis Ulcers are also known as bed sores.(Marsh 1) They are mostly seen in Geriatrics patients.
They occur in people who are put on bed rest, or long periods of wheelchair use. "A traumatic decubitis ulcer is precipitated by continuous pressure on the skin . The paper is titled a review of the publication the death of author poem about social connection Legal Issues in the Care of Pressure Ulcer the fact that a special bed was an informative paper on the steps in the proper treatment of decubitis ulcer or bed sore ordered on about pressure ulcer prevention or treatment Informative Speech On.
The second is the actual treatment of the ulcer. In those that are malnourished increasing caloric intake and protein may go a long way to improving outcomes.
The proper way to assess a bed sore is to look at it from various standpoints. an inflammation, sore, or ulcer in the skin over a bony prominence, most frequently on the sacrum, elbows, heels, outer ankles, inner knees, hips, shoulder blades, and occipital bone of high-risk patients, especially those who are obese, elderly, or suffering from chronic diseases, infections, injuries, or .
Skin Cancer Teaching Plan Essay. Patient/ Family will be able to recognize the signs & symptoms of infection Teaching Plan: 1. Patient teaching will take place when the patient is most awake and free of any medications that may affect their ability to learn/ observe the information being given.
Assessment and Documentation of Pressure Ulcers Jeri Ann Lundgren, RN, BSN, PHN, CWS, CWCN treatment. Deep Tissue Injury. 7/11/ 11 Stage II • Partial thickness loss of dermis presenting as a shallow open ulcer with a red pink wound bed, without slough.
May also present as an intact or open/ruptured serum-filled blister.