Page 166 - LECTURE NOTES

are sacrum and hip but also in include occipital area, elbow, heels, ankles, scapula and

back.

1. Predisposing factors
¾ Immobility (sleeping on one place for long hours) due to chronic debilitating

disease
¾ Being incontinence (un able to control urine and feces)

¾ Edema (swelling of body) cause by impaired circulation

2. Clinical Manifestation

At early time, the health workers notice that, there is redness, tissue swelling and

congestion with a patient complaining discomfort, elevation of skin temperature because
of high vasodilatation and then the part of skin progress to dusky, cyanotic blue gray

appearance.

3. The goal of management of bed sore
- Include relief of pressure, improve mobility, and improve nutritional status.

4. Management

1. Relieving pressure
o By frequent change position by using a variety of pads and supportive device

to prominent areas
2. Improve mobility

Encourage passive and active exercise to increase blood circulation
3. Improve nutritional status

Tell the patient to take high protein, iron and vitamin

4. Reduce friction
- Make the bed daily and as needed

5. Minimize moisture (keep the area clean and dry)

Soiled skin should be washed with soap & water and dry with sunlight
6. Apply dressing for already wounded skin cleaning are with warm water and soap

7. Maintain skin integrity by offering bed bath

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