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Bedsores
Definition:

Bedsores are also called decubitus ulcers,
pressure ulcers, or pressure sores. These
tender or inflamed patches develop when
skin covering a weight-bearing part of the
body is squeezed between bone &
another body part, or a bed, chair, splint,
or other hard object.
Description:

Each year, about one million people in the
US develop bedsores ranging from mild
inflammation to deep wounds that involve
muscle and bone. This often-painful
condition usually starts with shiny red skin
that quickly blisters & deteriorates into
open     sores  that    can   harbour    life
threatening infection. Bedsores are not
cancerous or contagious. They are most
likely to occur in people who must use.
Wheelchairs or who are confined to bed.
In 1992, the federal Agency for Health
Care Policy and Research reported that
bedsores afflict.

•10% of hospital patients
•25% of nursing home residents
•60% of quadriplegics.

The Agency also noted that 65% of elderly
people hospitalised with broken hips
develop bedsores and that doctors fees for
treatment of bedsores amounted to
$2,900 per person per month.
Bedsores are most apt to develop on the:

*Ankles              *Knees

*Back of the head    *Lower back

*Heels               *Shoulder blades

*Hips                *Spine.

People over the age of 60 are more likely
than younger people to develop bedsores.
•Atherosclerosis (hardening of arteries)
•Diabetes or other conditions that make
skin more susceptible to infection
•Diminished sensation or lack of feeling
•Heart problems
•Incontinence (inability to control bladder
or bowel movements)
•Malnutrition
•Obesity ,Paralysis or immobility
•Poor circulation
•Prolonged     bed    rest    especially    in
unsanitary conditions with wet or wrinkled
sheets
•Spinal cord injury
Causes & symptoms:
Bedsores     most     often  develop   when
constant pressure pinches tiny blood
vessels that deliver Oxygen and nutrients
to the skin. When skin is deprived of
oxygen and nutrients for as little As an
hour, areas of tissue can die and bedsores
can form. Slight rubbing or friction against
the skin can cause minor pressure ulcers.
They can also Develop when a patient
stretches or bends blood vessels by slipping
into a different position In a bed or chair.
Urine, faeces, or other moisture increases
the risk of skin infection.
People who are unable to move or
recognize internal cues to shift position
have a greater than average risk of
developing bedsores. Other risk factors
include.
•Malnutrition

•Anaemia (lack of red blood cells)

•Disuse atrophy (muscle loss or weakness
from lack of use)

•Infection.
Diagnosis:Physical       examination,      medical
history, and patient and care giver observations
are the basis of diagnosis. Special attention must
be paid to physical or mental problems, like
incontinence or confusion, that could complicate
a patient's recovery
Bedsores usually follow six stages:
Redness of skin
Swelling, and possible peeling of outer layer of
skin
Dead skin, draining wound, & exposed fat layer
tissue death through skin and fat, to muscle.
Destruction of bone, bone infection, fracture,
and blood infection
Treatment:
Prompt medical attention can prevent
surface pressure sores from deepening into
more serious infections. For mild bedsores,
treatment involves relieving pressure,
keeping the wound clean and moist, and
keeping the area around the ulcer clean
and dry. Antiseptics, harsh soaps, and
other skin cleansers can damage new
tissue, so a saline solution should be used
to cleanse the wound whenever a fresh
non-stick dressing is applied.
The patient's doctor may prescribe
infection-fighting     antibiotics,   special
dressings or drying agents, or lotions or
ointments to be applied to the wound in a
thin film 3/4 times a day.
Warm whirlpool treatments are sometimes
recommended for sores on the arm, hand,
foot, or leg. In a procedure called deriding,
a scalpel may be used to remove dead
tissue or other debris from the wound
Deep, ulcerated sores that don't respond to
other therapy may require skin grafts or
plastic surgery
A doctor should be notified whenever a
person:
*Will be bedridden or immobilized for an
extended time
*Is very weak or unable to move
*Develops bedsores
Immediate       medical    attention   is
required whenever:
*Skin turns black or becomes inflamed,
tender, swollen, or warm to the touch
*The patient develops a fever during
treatment
*The sore contains pus or has a foul-
smelling discharge.
With proper treatment, bedsores should
begin to heal two to four weeks after
treatment begins
Alternative treatment:
Zinc and vitamins A, C, E, and B complex
help skin repair injuries and stay healthy,
but large doses of vitamins or minerals
should never be used without a doctor's
approval.A poultice made of equal parts of
powdered slippery elm (Ulmus fulva)marsh
mallow (Althaea officinalis), and Echinacea
(Echinacea sp.) blended with a small
amount of hot water can relieve minor
An infection-fighting rinse can be made by
diluting two drops of essential tea tree oil
(Melaleuca sp..) in eight ounces of water.
An herbal tea made from the calendula
(Calendula officinalis) can act as an anti
septic and wound healing agent. Calendula
cream can also be used.
Contrasting hot and cold local applications
can increase circulation to the area and
help flush out waste products, speeding the
healing process. The temperatures should
be extreme (hot and ice cold), yet tolerable
to the skin.
Hot compresses should be applied for three
minutes, followed by 30 seconds of cold
compress application, repeating the cycle
three times. The cycle should always end
with the cold compress.
Prevention:
It is usually possible to prevent bedsores
from developing or worsening. The patient
should be inspected regularly; should
bathe or shower every day, using warm
water and mild soap; and should avoid cold
or dry air. A bedridden patient should be
repositioned at least once every two hours
while awake.
A person who uses a wheelchair should
shift his weight every 10 or 15 minutes, or
be helped to reposition himself at least
once an hour. It is important to lift, rather
than drag, a person being repositioned.
Bony parts of the body should not be
massaged. Even slight friction can remove
the top layer of skin and damage blood
vessels beneath it.
If the patient is bedridden, sensitive
body parts can be protected by:
*Sheepskin pads
*Special cushions placed on top of a
mattress
*A water-filled mattress
*A    variable-pressure mattress whose
sections can be individually inflated or
deflated to redistribute pressure.
Pillows or foam wedges can prevent a
bedridden patient's ankles from irritating
each other, and pillows placed under the
legs from mid-calf to ankle can raise the
heels off the bed.
Raising the head of the bed slightly and
briefly can provide relief, but raising the
head of the bed more than 30 degrees can
cause the patient to slide, thereby causing
damage to skin and tiny blood vessels.A
person who uses a wheelchair should be
encouraged to sit up as straight as
possible. Pillows behind the head and
between the legs can help prevent
bedsores, as can a special cushion placed
on the chair seat. Donut-shaped cushions
should not be used because they restrict
blood flow and cause tissues to swell.
Prognosis:Bedsores can usually be cured, but
about 60,000 deaths a year are attributed to
complications Caused by bedsores. Bedsores can
be slow to heal. Without proper treatment, they
can lead to
•Gangrene (tissue death)

•Osteomyelitis (infection of the bone beneath the
bedsore)

•Sepsis (tissue-destroying bacterial infection)

•Other localized or systemic infections that slow
the healing process, increase the cost of
treatment, lengthen hospital or nursing home
Further Reading following Books help
The    Medical     Advisor:     The
Complete Guide to Alternative and
Conventional Treatments, edited
by Time-Life Books. Alexandria,
VA: Time-Life, Inc., 1996.
Alternative therapies like Ayurveda
are having effective remedy for
this depressing stigmata's and
painful life threatening for the
ambulatory.
For more Info

 Bellavistan Murthy
Wellness Consultant
  98480 13958
www.gloherbals.com
support@gloherbals.com

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Bedsores and its Remedy

  • 1. Bedsores Definition: Bedsores are also called decubitus ulcers, pressure ulcers, or pressure sores. These tender or inflamed patches develop when skin covering a weight-bearing part of the body is squeezed between bone & another body part, or a bed, chair, splint, or other hard object.
  • 2. Description: Each year, about one million people in the US develop bedsores ranging from mild inflammation to deep wounds that involve muscle and bone. This often-painful condition usually starts with shiny red skin that quickly blisters & deteriorates into open sores that can harbour life threatening infection. Bedsores are not cancerous or contagious. They are most likely to occur in people who must use. Wheelchairs or who are confined to bed.
  • 3. In 1992, the federal Agency for Health Care Policy and Research reported that bedsores afflict. •10% of hospital patients •25% of nursing home residents •60% of quadriplegics. The Agency also noted that 65% of elderly people hospitalised with broken hips develop bedsores and that doctors fees for treatment of bedsores amounted to $2,900 per person per month.
  • 4. Bedsores are most apt to develop on the: *Ankles *Knees *Back of the head *Lower back *Heels *Shoulder blades *Hips *Spine. People over the age of 60 are more likely than younger people to develop bedsores.
  • 5. •Atherosclerosis (hardening of arteries) •Diabetes or other conditions that make skin more susceptible to infection •Diminished sensation or lack of feeling •Heart problems •Incontinence (inability to control bladder or bowel movements) •Malnutrition •Obesity ,Paralysis or immobility •Poor circulation •Prolonged bed rest especially in unsanitary conditions with wet or wrinkled sheets •Spinal cord injury
  • 6. Causes & symptoms: Bedsores most often develop when constant pressure pinches tiny blood vessels that deliver Oxygen and nutrients to the skin. When skin is deprived of oxygen and nutrients for as little As an hour, areas of tissue can die and bedsores can form. Slight rubbing or friction against the skin can cause minor pressure ulcers. They can also Develop when a patient stretches or bends blood vessels by slipping into a different position In a bed or chair. Urine, faeces, or other moisture increases the risk of skin infection.
  • 7. People who are unable to move or recognize internal cues to shift position have a greater than average risk of developing bedsores. Other risk factors include. •Malnutrition •Anaemia (lack of red blood cells) •Disuse atrophy (muscle loss or weakness from lack of use) •Infection.
  • 8. Diagnosis:Physical examination, medical history, and patient and care giver observations are the basis of diagnosis. Special attention must be paid to physical or mental problems, like incontinence or confusion, that could complicate a patient's recovery Bedsores usually follow six stages: Redness of skin Swelling, and possible peeling of outer layer of skin Dead skin, draining wound, & exposed fat layer tissue death through skin and fat, to muscle. Destruction of bone, bone infection, fracture, and blood infection
  • 9. Treatment: Prompt medical attention can prevent surface pressure sores from deepening into more serious infections. For mild bedsores, treatment involves relieving pressure, keeping the wound clean and moist, and keeping the area around the ulcer clean and dry. Antiseptics, harsh soaps, and other skin cleansers can damage new tissue, so a saline solution should be used to cleanse the wound whenever a fresh non-stick dressing is applied.
  • 10. The patient's doctor may prescribe infection-fighting antibiotics, special dressings or drying agents, or lotions or ointments to be applied to the wound in a thin film 3/4 times a day. Warm whirlpool treatments are sometimes recommended for sores on the arm, hand, foot, or leg. In a procedure called deriding, a scalpel may be used to remove dead tissue or other debris from the wound Deep, ulcerated sores that don't respond to other therapy may require skin grafts or plastic surgery
  • 11. A doctor should be notified whenever a person: *Will be bedridden or immobilized for an extended time *Is very weak or unable to move *Develops bedsores Immediate medical attention is required whenever: *Skin turns black or becomes inflamed, tender, swollen, or warm to the touch *The patient develops a fever during treatment *The sore contains pus or has a foul- smelling discharge.
  • 12. With proper treatment, bedsores should begin to heal two to four weeks after treatment begins Alternative treatment: Zinc and vitamins A, C, E, and B complex help skin repair injuries and stay healthy, but large doses of vitamins or minerals should never be used without a doctor's approval.A poultice made of equal parts of powdered slippery elm (Ulmus fulva)marsh mallow (Althaea officinalis), and Echinacea (Echinacea sp.) blended with a small amount of hot water can relieve minor
  • 13. An infection-fighting rinse can be made by diluting two drops of essential tea tree oil (Melaleuca sp..) in eight ounces of water. An herbal tea made from the calendula (Calendula officinalis) can act as an anti septic and wound healing agent. Calendula cream can also be used. Contrasting hot and cold local applications can increase circulation to the area and help flush out waste products, speeding the healing process. The temperatures should be extreme (hot and ice cold), yet tolerable to the skin.
  • 14. Hot compresses should be applied for three minutes, followed by 30 seconds of cold compress application, repeating the cycle three times. The cycle should always end with the cold compress. Prevention: It is usually possible to prevent bedsores from developing or worsening. The patient should be inspected regularly; should bathe or shower every day, using warm water and mild soap; and should avoid cold or dry air. A bedridden patient should be repositioned at least once every two hours while awake.
  • 15. A person who uses a wheelchair should shift his weight every 10 or 15 minutes, or be helped to reposition himself at least once an hour. It is important to lift, rather than drag, a person being repositioned. Bony parts of the body should not be massaged. Even slight friction can remove the top layer of skin and damage blood vessels beneath it.
  • 16. If the patient is bedridden, sensitive body parts can be protected by: *Sheepskin pads *Special cushions placed on top of a mattress *A water-filled mattress *A variable-pressure mattress whose sections can be individually inflated or deflated to redistribute pressure. Pillows or foam wedges can prevent a bedridden patient's ankles from irritating each other, and pillows placed under the legs from mid-calf to ankle can raise the heels off the bed.
  • 17. Raising the head of the bed slightly and briefly can provide relief, but raising the head of the bed more than 30 degrees can cause the patient to slide, thereby causing damage to skin and tiny blood vessels.A person who uses a wheelchair should be encouraged to sit up as straight as possible. Pillows behind the head and between the legs can help prevent bedsores, as can a special cushion placed on the chair seat. Donut-shaped cushions should not be used because they restrict blood flow and cause tissues to swell.
  • 18. Prognosis:Bedsores can usually be cured, but about 60,000 deaths a year are attributed to complications Caused by bedsores. Bedsores can be slow to heal. Without proper treatment, they can lead to •Gangrene (tissue death) •Osteomyelitis (infection of the bone beneath the bedsore) •Sepsis (tissue-destroying bacterial infection) •Other localized or systemic infections that slow the healing process, increase the cost of treatment, lengthen hospital or nursing home
  • 19. Further Reading following Books help The Medical Advisor: The Complete Guide to Alternative and Conventional Treatments, edited by Time-Life Books. Alexandria, VA: Time-Life, Inc., 1996. Alternative therapies like Ayurveda are having effective remedy for this depressing stigmata's and painful life threatening for the ambulatory.
  • 20. For more Info Bellavistan Murthy Wellness Consultant 98480 13958 www.gloherbals.com support@gloherbals.com