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Yang
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PREVENTION & CARE OF
BED SORES AT HOME
Bed
sores
are due
to persis-
tent
pressure on parts
of
the
body, causing interruption
of
the
local
blood supply
and,
eventually, ulceration
of
the
skin,
usually
over bony
prominences,
e.9., at
the
low
back
of
those
bed
bound. Treatment
is tricky
as
healing
is
often delayed. After dis-
charge from hospital, organiza-
tion
ol
home
care and prevention
is relevant:
by
turning
the
para-
lyzed body every
2-3
hrs; appro-
priate
cushioning
to
distribute
the
force evenly
over the
widest area
feasible and
the
use
of
ring
cushions. Frequent cleaning with
warm water; keeping the skin dry
and
comfortable;
change
bed
sheets frequently; avoid any skin
irritation by
urine
or
fecal
contamination.
Local
massage
4-
5
times
a day
for 3-5
min
each
also
improves local circulation.
Ripple beds or
water beds
are
also useful.
Nutrition
also
helps.
Treatment
of
early stage
bed
sores is mainly to enhance
pre-
vention methods. Later
stages
may require more rigorous nurs-
ing
procedures
and
even
removal
of dead tissue. Special
mention
is made
of
absorbent underpads
with superabsorbent
polymer
(SAP)
-
when used as directed,
these are non-stick and kind to
regenerating
tissues
but would
very effectively absorb excessive
fluids -
most
idealfor
home
use.
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