Bedsores are a medical condition that can infect persons lying for a long time or who are immobile or unconscious,
these sores can be called pressure sores or pressure ulcers.
Bedsores are commonly caused in elderly people who have bad healthcare,
inconvenient medical home services or have bad nutrition and medication.
elderly people who haven’t got good healthcare services at home,
are more susceptible to have bedsores because of insufficient circulation or body movement,
that can cause a prolonged pressure on the contact skin resulting in ulcers specially on the skin covering the bony areas.
it can appear during days or weeks,
but it can be cured by different medication with good healthcare services offered to aged people.
What are the causes of bedsores?
when the skin or one part of the body is lying for a long time, the blood supply of the contact skin will be cut off,
this will cause the inflammation of the skin due to poor oxygen and nutrients delivered to it.
That’s why the contact skin starts to be inflamed and gets a red swollen texture,
which may exceed to be purple color causing fragile skin can be broken easily upon any trauma.
In this condition,
the skin can open and get infection for deeper layers including muscles or even bones.
Which body parts can the bedsores affect?
- buttocks and tailbone
- the back and shoulders
- the back of the body
- hips and lower limb
- knees or elbows
The symptoms of bedsores:
because of prolonged pressure on the skin and friction with the contact surface,
the blood supply will be cut off causing the inflammation, redness and swelling of the skin.
The skin will have a warm red texture in addition to complaining of burning or itching.
then the skin becomes more fragile and gets more darker as a purple color and can open causing pressure sores or bedsores.
medication should be applied to prevent complications of the infected sores.
but if it isn’t treated immediately,
the bed sores can progress more complications or infection for deeper layers including muscles,
tendons or bones that can’t be treated easily.
The faster medication is applied, the easier cure or remedy can the patient get.
The risk factors of bedsores:
There are a lot of factors can cause the rising of bedsores especially for elderly people who have bad healthcare services:
lack of mobility:
lack of mobility or movement for different reasons can affect the circulation and cause sores.
The neurological disorders can cause the lack of sensation and lying for a long time that exhibit disorders of blood supply,
and lose sense of pain.
lack of good nutrition and hydration:
people who get good food and nutrients everyday, including proteins, carbohydrates, minerals, fats and fibers
are more safe against the formation of sores, as the good food intake can help in good circulation and tissue bioavailability.
The treatment of bedsores:
The first step in treatment of bedsores is visiting or consulting a doctor and healthcare givers,
to help the patient about effective treatment plan and mobility instruction.
avoid pressure on the infected skin:
The doctor or healthcare giver will ask the patient to get more proper positions during lying or sleeping.
This repositioning will permit to reduce pressure on the infected skin and promote a good circulation that feeds the tissues.
the patient can also use more comfortable surfaces to decrease friction and pressure.
sterilize the bedsores and cover it with dressings:
the doctor will prescribe a cleaning process that the patient should clean the ulcers with tap water,
then sterilize it using disinfectants and finally cover it with a sterile bandage or gauze.
This dressing or gauze will act as a barrier against the air, germs or bacterial infection.
remove the damaged tissue:
During the step of sterilization and cleaning, if the doctor finds any damaged or infected tissue,
he will remove it by sterile instruments and complete the sterilization with disinfectant or saline to eliminate the excessive debris.
In case of the pain or itching, the doctor will prescribe topical medications to relieve pain using some drugs,
such as non-steroidal anti-inflammatory drugs (Ibuprofen) as analgesics.
surgery in case of severe cases:
some severe cases which can’t be treated topically,
the doctor will ask the patient for surgical therapy by making a pad for the infected tissue.