Bedsores (Decubitus Ulcers)

Stage I Red or blue-gray discoloration

Stage 1

Stage 2 Abrasions, bruises and open sores develop Tissue damage to epidermis & dermis

Stage 2

Stage 3 Open crater forms Wound extends through the dermis and into the hypodermis

Stage 3

Stage 3

Stage 4 Damage extends to muscle, tendon and bone

Stage 4

Stage 4

Stage 4

Prevention Measures Frequent position changes Frequent inspection of at risk areas Taking good care of skin Maintain good nutrition (good balanced diet, vitamins, hydration) Quitting smoking Exercising daily Specialized mattress, cushions etc.

Treatment Stage I & II usually heal within several weeks with conservative care Stage III & IV are more difficult to treat

Treatment Options Use all preventative measures Clean wound (wash with mild soap/water; saline rinse) Apply dressings Debridement (surgical, mechanical, enzymatic) Antibiotic treatment Pain management

Treatment options- cont. Incontinence management Muscle spasm relief Negative pressure therapy (wound VAC)