ulcers （bed sores） uci department of emergency 压力性溃疡（褥疮）紧急uci部课件

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1、PressureUlcers(BedSores)Presentedby:NirviShahWhatarePressureUlcers?AreaofskinbreaksdownwhennomovementoccursConstantpressurereducesbloodsupplytospecificareadeathoftissue4StagesofPressureUlcersReddenedareaofskinBlister/OpenSoreCrater(bowlshapeddepressiononsurface)Damag

2、etomuscleorbone4StagesofPressureUlcersSigns/SymptomsFoulodorfromulcerRedness/tendernessaroundulcerWarm/swollenskinFever,weakness,andconfusionifinfectionspreadtobloodorotherareasofbodyTreatmentRelievepressureinarea(pillows,cushions)PhysiciancantreatdependingonstageAvoid

3、furthertraumaPreventinfectionbyproperlycleaningopenulcersMedicationtopromoteskinhealingDONOT…MassagetheareaDamagetissueundertheskinUsedonut-shapedorring-shapedcushionsInterferewithbloodflowWho’satRisk?Bedridden/wheelchairboundFragileskin/OlderageChronicdiseasethatpreve

4、ntsbloodflowSpinalCordInjury/BrainInjury/MSAlzheimer’sDiseasePreventionChangepositionevery2hrstorelievepressureUsepillows,foampaddingtoreducepressureEathealthy/DrinkplentyofwaterExercisedailytopreventimmobilityKeepskincleananddry—especiallyafterurinating/bowelmovements

5、InterestingFactsPrevalenceinU.S.10%to18%inacutecare1millionindividuals/yearCauseofdeathin60,000individuals/year(orbecausepressureulcerscausedanotherinfectionorcomplication)CantriggerSepsisBacteriafrompressureulcerenteringthebloodstream