What items are used to prevent bed sores?

What items are used to prevent bed sores?

Seniors with limited mobility are at risk of developing painful bed sores (aka pressure sores). Sitting or lying in the same position for long periods of time can cause these potentially life-threatening sores to form on their body. Since bed sores prevention is far easier than healing them, Vive Health shares 3 tips for preventing sores from developing and also explain 2 common treatments.

If you are caring for an older adult who has limited mobility or is confined to a bed, recliner, or wheelchair, knowing your way around bed sores is a must. Why?

While seemingly harmless in the beginning, bed sores can quickly progress into life-threatening tissue decay and infection. It may sound dramatic, but whisper concerns about a bed sore to any medical professional and they’ll probably have a wound care specialist evaluating your older adult STAT.

Unfortunately, the people most susceptible to developing bed sores are the ones already experiencing debilitating illnesses which have cost them their mobility in the first place.

Get 3 tips for preventing bed sores from developing and find out about the 2 methods doctors typically use to treat bed sores.

3 tips for bed sores prevention

1. Frequent repositioning
The number one way to preventing and heal bed sores is to reposition your older adult’s body. Simply shifting the body every 2 to 3 hours makes a huge difference in relieving pressure on those bonier parts and boosting circulation.

Specialty mattresses or toppers with alternating airflow can do this job for you. For regular mattresses and chairs, manually repositioning them with pillows works too. Using gel or memory foam pillows or mattress toppers helps, but still doesn’t remove the need for constant repositioning.

2. Managing incontinence
Good incontinence hygiene can be the difference between healthy and broken skin.

During each incontinence brief change, clean, dry, and apply barrier ointments, creams, or gels to protect skin from getting wet and breaking down.

Keeping the sacral area (just above the tailbone) clean and dry helps keep contaminants away from sensitive areas and prevents bacteria growth in open sores.

3. Prioritizing nutrition and hydration
Adding tissue-building foods like fatty fish, citrus fruits, broccoli, cauliflower, quinoa, flax seeds, and nuts can give your older adult the nutrients their body needs to strengthen skin and repair tissue.

Staying properly hydrated also helps promote good blood circulation, which prevents tissue damage. You could also make eating easier with an overbed table that rolls right up to your older adult’s bed or chair.

2 primary bed sore treatments

Depending on the stage and size of the bed sore, your older adult’s doctor will recommend a treatment or may have them see a wound care specialist to formulate a customized plan to stop the sore from developing and reverse the skin breakdown. They should also make sure you’re fully trained on how to care for the wound.

When you’re helping to treat and heal a bed sore, vigilant monitoring is essential. These sores can progress rapidly from one stage to the next in a matter of days.

There are two main methods to treating bed sores.

1. Barrier ointments, creams, or gels
For stage I and healed bed sores, applying barrier creams prevents skin from breaking down.

Moisture from sweat, urine, or other contaminants can make skin more likely to tear or open. Barrier creams keep out these contaminants and reinforce the vulnerable skin.

2. Wound dressings
Stage II bedsores and up have existing skin breakdown require more serious wound dressings.

These vary from breathable gauze pads to treated silicone padding with adhesive barriers, foam, and/or hydrocolloid dressings. Additional materials including silver and calcium alginate help healing and may be applied with dressings.

A home health nurse or other medical professional will train you on how to treat the bed sore and change dressings. Training is critical because treating a bedsore without it can be dangerous.

For example, a stage II bedsore may need barrier cream and silicone dressing. But a stage III bedsore would require debridement, or the removal of necrotic tissue that could promote life-threatening bacterial growth.

Final considerations

Are bed sores scary? Absolutely. Are they too much for caregivers to manage? Not at all.

With prompt attention from a medical professional, as well as proactive actions like repositioning, staying hydrated, and maintaining a healthy weight, you can keep your older adult bedsore-free for good.

Next Step  Know the essential facts about bed sores: what causes them, 4 stages of severity, and how to spot one before it turns into a serious wound

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Guest contributor: Jessica Hegg is the content manager at ViveHealth.com. Interested in all things related to living healthy lifestyle, she works to share valuable information aimed at overcoming obstacles and improving the quality of life for others.

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What items are used to prevent bed sores?

Pressure sores are wounds that develop when constant pressure or friction on one area of the body damages the skin. Constant pressure on an area of skin stops blood flowing normally, so the cells die and the skin breaks down.

Other names for pressure sores are bedsores, pressure ulcers and decubitus ulcers.

Causes of pressure sores

Pressure sores happen if you can’t move around and so stay in one position for a long time. We normally move about constantly, even in our sleep. This stops pressure sores developing.

People who are unable to move around tend to put pressure on the same areas of the body for a long time. If you are ill, bedridden or in a wheelchair, you are at risk of getting pressure sores.

A number of things can increase your risk of pressure sores, including:

  • being unable to move around easily due to old age or illness
  • weight loss - you may have less padding over bony areas
  • sliding down in a bed or chair - pressure on the skin cuts off blood supply because the skin is being pulled in different directions (called shearing)
  • friction or rubbing of the skin, for example against sheets
  • a poor diet
  • lack of fluid (dehydration)
  • moist skin - for example, due to sweating or incontinence
  • other medical conditions, such as diabetes
  • having a previous pressure ulcer

Preventing pressure sores

It is much better to prevent pressure sores than to treat them. The National Institute for Health and Care Excellence (NICE), Healthcare Improvement Scotland and the European Pressure Ulcer Advisory Panel (EPUAP) have guidelines on pressure sores.

They all recommend that a member of the health care team looking after you should assess your risk of developing pressure sores and create a plan to prevent them. 

The areas of skin most at risk of getting sore depends on whether you are lying down or sitting. The following diagrams show the areas most at risk:

What items are used to prevent bed sores?
What items are used to prevent bed sores?

Tips to prevent pressure sores

The following tips can help to prevent pressure sores:

Relieving direct pressure

  • change position and keep moving as much as possible
  • stand up to relieve pressure if you can
  • ask your carer to reposition you regularly if you can't move
  • change position at least every 2 hours
  • use special pressure relieving mattresses and cushions
  • don't drag your heels or elbows when moving in your bed or chair

Skincare

  • keep your skin clean and dry
  • avoid scented soaps as they can be more drying
  • moisturise your skin thoroughly after washing
  • avoid using talcum powder as this dries the skins natural oils
  • keep your skin well moisturised

General tips

  • make sure the bedsheets are smooth and not wrinkled when you are lying in bed
  • sheets should be cotton or silk like fabric
  • eat a well balanced diet
  • have at least 2 litres of fluid a day
  • tell your doctor or nurse if you notice any skin changes or discomfort as soon as possible

21 Feb 2019

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  • Pressure ulcers
    National Institute for Health and Care Excellence (NICE), 2015

  • Prevention and management of pressure ulcers. Best Practice Statement
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    European Pressure Ulcer Advisory Panel (EPUAP), 2014