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Bedsore is a skin condition arising from the exposure to the following factors:
Maceration – occurs when the skin is constantly exposed to moisture, what softens it, making it easy to get infected. Agents causing macerations are:
The most common places where bedsores occur:
Bedsores are rated in stages – there are 5 depending on the level of development:
STAGE I – redness, which fades after eliminating the pressure; there is no skin damage.
STAGE II – redness that does not fade after relieving the pressure; surface swelling, skin erosion; painful epidermis injury.
STAGE III – deep skin damage reaching to the dermis (deeper skin structures); visible, swelling, rash; the bottom of the wound may be covered with dissolving tissue (yellow mass) or red granulation.
STAGE IV – the damage reaches down to the bone, skin necrosis occurs; dead tissue is present, and the bottom of the wound may be filled with black necrotic tissue.
STAGE V – this is the most advanced stage – necrosis reaches down to the muscles, which may lead to sepsis.
Healthy people, who are able to control their muscles, and are able to react to discomfort caused by pressure never develop bedsores. Their development in the case of people with limited mobility can be considerably reduced by following the rules of bedsore preventive treatment.
Skin redness, which doesn’t disappear after relieving pressure, blisters developing in the area under pressure, damaged epidermis – these symptoms should alert the carer. Constant skin observation is a crucial element of bedsore preventive treatment.
If bedsores develop you need to consult a doctor immediately to plan the treatment. Treatment of bedsores takes time. It is a difficult process, however, if you follow the doctor’s advice, it is possible to cure them.
Remember: the sooner you start to employ proper action, the quicker and more effective the treatment will be. Remember that it is easier to prevent, than cure.
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