First, I should say that my experience is with prevention, and you should discuss any treatment with a doctor.
Second, wound care is complex. The proper treatment, including ointments and cleaning materials, will depend on whether the sore is infected or not and whether it is wet or dry. Get expert medical treatment.
Bedsores are serious.
Bedsores are very serious, especially if they develop into open wounds. They don't heal easily, and can get...
worse quickly if not treated carefully and expertly. Bedsores are also commonly referred to pressure ulcers or pressure sores. If you look up the bedsore topic online, these terms are used more commonly on the medical sites.
Bedsores are classified by stage, one through four. Stage 1 is before it breaks the skin surface, while at Stage 4 it is an open wound all the way to the bone or tendon.
Don't look at these if you get upset easily, but there are pictures of the sores on the internet, including in Wikipedia under the bedsore definition.
Identification.
Hopefully you will be able to identify the existence of a sore early in Stage 1, before it breaks the skin. At Stage 1 the area will look red or purple under the skin surface. If you touch it, it won't temporarily turn white, like a spot that is red from routine pressure would.
The areas that are susceptible and should be checked are those where the bone is close to the skin surface and subject to pressure, such as the hips, lower spine (tailbone), heels, elbows, etc. These ares should be checked frequently, especially the tailbone area and heels.
At the very least, the skin should be fully examined at least daily, during the daily bathing. After the cleaning, you should be applying moisturizing lotion to the skin. As you apply the lotion to the entire body, check thoroughly for anything that could look like a developing sore. If you see a stage 1 sore, don't massage it, as this may cause further damage to the area under the skin. Also, you can sometimes identify that there is a sore from odor, so be sure to investigate to any foul smell.
Treatment.
If a bedsore is discovered, get professional medical treatment. At a very least, if these are discovered in a rehab or nursing facility, have them treated by a "Wound Care Nurse". Wound Care is a nursing specialty. Ask to speak with that nurse about the prescription for treatment. If the facility does not have a wound care nurse on staff, they should be able to arrange for one.
Make sure the prescribed treatment is followed. The dressing should always be dry, and should be changed according to schedule. My experience is that this often does not happen as you would think it might. In rehab facilities or acute care hospitals, there may be 15 patients assigned to each CNA and there might be only a few RN's on duty, so scheduled dressing changes can easily get overlooked.
I try to talk to the client's doctor about possibly prescribing specific cleansers and ointments, rather than have the staff rely on whatever is on hand at the facility.
Monitor carefully.
I might Trust, but I also Verify, so I'll sometimes mark or date a bandage so I can be sure that it is being changed. More frequent changing is much better than a skipped changing. Also, even if it has just been changed minutes before, if the dressing gets wet or contaminated at all, make sure the wound is treated and changed all over again. Wounds in the tailbone area or hip can easily get contaminated. Don't compromise if the wound gets contaminated. Be sure that it is cleaned and bandaged all over again if this happens, no matter how many times this may need to be done.
If the sore is being treated in a rehab facility, find out when the wound care nurse is scheduled for a follow-up so you can get the progress. By doing that you will also know that there actually is a follow-up.
Elder abuse?
Some patient advocate groups you find online consider any bedsore to be an indication of abuse. That may be a severe view.
My own opinion is that these sores are preventable. They afflict people who can't care for themselves, when the attention they require is not provided. These sores are painful. They come about when a person is left in one position so long that discomfort gradually builds up to the point that it is painful.
Second, wound care is complex. The proper treatment, including ointments and cleaning materials, will depend on whether the sore is infected or not and whether it is wet or dry. Get expert medical treatment.
Bedsores are serious.
Bedsores are very serious, especially if they develop into open wounds. They don't heal easily, and can get...
worse quickly if not treated carefully and expertly. Bedsores are also commonly referred to pressure ulcers or pressure sores. If you look up the bedsore topic online, these terms are used more commonly on the medical sites.
Bedsores are classified by stage, one through four. Stage 1 is before it breaks the skin surface, while at Stage 4 it is an open wound all the way to the bone or tendon.
Don't look at these if you get upset easily, but there are pictures of the sores on the internet, including in Wikipedia under the bedsore definition.
Identification.
Hopefully you will be able to identify the existence of a sore early in Stage 1, before it breaks the skin. At Stage 1 the area will look red or purple under the skin surface. If you touch it, it won't temporarily turn white, like a spot that is red from routine pressure would.
The areas that are susceptible and should be checked are those where the bone is close to the skin surface and subject to pressure, such as the hips, lower spine (tailbone), heels, elbows, etc. These ares should be checked frequently, especially the tailbone area and heels.
At the very least, the skin should be fully examined at least daily, during the daily bathing. After the cleaning, you should be applying moisturizing lotion to the skin. As you apply the lotion to the entire body, check thoroughly for anything that could look like a developing sore. If you see a stage 1 sore, don't massage it, as this may cause further damage to the area under the skin. Also, you can sometimes identify that there is a sore from odor, so be sure to investigate to any foul smell.
Treatment.
If a bedsore is discovered, get professional medical treatment. At a very least, if these are discovered in a rehab or nursing facility, have them treated by a "Wound Care Nurse". Wound Care is a nursing specialty. Ask to speak with that nurse about the prescription for treatment. If the facility does not have a wound care nurse on staff, they should be able to arrange for one.
Make sure the prescribed treatment is followed. The dressing should always be dry, and should be changed according to schedule. My experience is that this often does not happen as you would think it might. In rehab facilities or acute care hospitals, there may be 15 patients assigned to each CNA and there might be only a few RN's on duty, so scheduled dressing changes can easily get overlooked.
I try to talk to the client's doctor about possibly prescribing specific cleansers and ointments, rather than have the staff rely on whatever is on hand at the facility.
Monitor carefully.
I might Trust, but I also Verify, so I'll sometimes mark or date a bandage so I can be sure that it is being changed. More frequent changing is much better than a skipped changing. Also, even if it has just been changed minutes before, if the dressing gets wet or contaminated at all, make sure the wound is treated and changed all over again. Wounds in the tailbone area or hip can easily get contaminated. Don't compromise if the wound gets contaminated. Be sure that it is cleaned and bandaged all over again if this happens, no matter how many times this may need to be done.
If the sore is being treated in a rehab facility, find out when the wound care nurse is scheduled for a follow-up so you can get the progress. By doing that you will also know that there actually is a follow-up.
Elder abuse?
Some patient advocate groups you find online consider any bedsore to be an indication of abuse. That may be a severe view.
My own opinion is that these sores are preventable. They afflict people who can't care for themselves, when the attention they require is not provided. These sores are painful. They come about when a person is left in one position so long that discomfort gradually builds up to the point that it is painful.
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