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Chit Chat / Re: Bedsore Question for You Medical People - Warning - not for the faint of heart
« on: May 25, 2009, 10:06:20 PM »
Retired RN here, bedsores are the bane of nursing! They ARE preventable under most circumstances. Patients need beds with special mattress or high density foam, something to equally distribute pressure, to be turned every two hours (this is where nursing homes and hospitals fail) Frequent bathing, washing after changing diaper, frequent diaper changes, just generally GOOD care! BUT with that said there are other factors that come into it and the main one is nutrition. If a person is not eating enough protein the skin will break down MUCH easier, ditto with dehydration. So with a patient that say has cancer, is not eating or drinking much it is VERY hard to prevent them. The high tech air and fluid beds help a lot but are cost prohibitive for most. Once a bed sore starts on a geriatric or terminal patient they are nearly impossible to heal (therefore the bane of nursing). Therefore the main goal is PREVENTION! I had a hospice cancer patient that her's ate all the way to the spine and you could see the bones she had it when we got her and no matter what we and her family did it just got bigger. Family faithfully turned her every two hours, we had special mattress brought in, RN care to change bandages and treat it daily...nothing helped.
More info than ya needed? LOL
Peg
More info than ya needed? LOL
Peg