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Claudia Mormino Anatomy & Physiology P. 4.  A pressure sore is caused by pressure on an area of the skin that interferes with circulation.  They can.

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Presentation on theme: "Claudia Mormino Anatomy & Physiology P. 4.  A pressure sore is caused by pressure on an area of the skin that interferes with circulation.  They can."— Presentation transcript:

1 Claudia Mormino Anatomy & Physiology P. 4

2  A pressure sore is caused by pressure on an area of the skin that interferes with circulation.  They can develop on areas of the body that rub together and moisture collects (under breasts, buttocks and thighs).  Pressure sores are mainly caused in three ways: friction (rubbing together), shearing (skin stays in place and muscles continue to move in the opposite direction), and prolonged pressure (staying in the same place for a long period of time), which interferes with the circulation of that certain area.

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4  The first sign of a pressure sore is a change in skin color, which usually turns to a red color.  Pressure sores occur in four main stages.

5  The skin is red, darkened or non blanchable (red skin that does turn white when pressure is applied), that is still present thirty minutes after pressure is relieved.  One should position off area and report it. Do not, by any means, try to massage this area.  Observe every two hours and report any changes.

6  Blister like lesions may begin to appear, and the skin may be broken.  Keep the area positioned off and report the need for dressing changes.  Report any odors, drainage and change in size.

7  The skin tissue is destroyed and fatty tissue may be involved.  Infection and eschar (scab) may result.  Continue to position off and report any changes whatsoever.

8  Skin, and fatty tissue are destroyed and muscle and bone may be involved.  Continue to position off and report changes.  In stage four, signs of systemic infection may appear. Be sure to report any of the following changes: wound odor, pain, elevated temperature, and confusion.

9 Stage One Stage Three Stage Two Stage Four

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12  Use these methods to prevent bedsores: make sure skin is clean and dry; reposition every two hours; keep the linen dry, wrinkle free, and clear of any objects that cause pressure; clean urine and feces from skin ASAP; make sure clothing and shoes do not bind or constrict; encourage the person to drink and have proper nutrition; massage pressure points (prior to stage one).  Some preventative devices include: bed cradles, heel and elbow protectors, flotation devices, pillows, waterbeds, pressure mattresses, and egg crate mattresses.  The BEST way to prevent a bed sore is look for and REPORT any changes in skin!!

13  http://www.mayoclinic.com/health/bedsores/DS00570/DSECTION=causes http://www.mayoclinic.com/health/bedsores/DS00570/DSECTION=causes  Dugan, Diana. Successful Nursing Assistant Care. Second. Albuquerque, New Mexico: Hartman Publishing, Inc., 2008. 320-337. Print. (NOTES)  http://gardenrain.files.wordpress.com/2009/05/sitting-pressure_sores04-e1.jpg http://gardenrain.files.wordpress.com/2009/05/sitting-pressure_sores04-e1.jpg  http://www.nursinghomesabuseblog.com/images/Screen%20shot%202010-10- 22%20at%202.53.02%20PM.png http://www.nursinghomesabuseblog.com/images/Screen%20shot%202010-10- 22%20at%202.53.02%20PM.png  http://www.nursinghomesabuseblog.com/bedsores-pressure-sores-decubi/hospital-bed- sores/ http://www.nursinghomesabuseblog.com/bedsores-pressure-sores-decubi/hospital-bed- sores/  http://1.bp.blogspot.com/_MjVQ- cqUpVs/TPH9rriTvzI/AAAAAAAAAaY/UqhhsM1i3nk/s1600/Pressure%2Bulcer.jpg http://1.bp.blogspot.com/_MjVQ- cqUpVs/TPH9rriTvzI/AAAAAAAAAaY/UqhhsM1i3nk/s1600/Pressure%2Bulcer.jpg  http://hamill-law.com/bedsore4.jpghttp://hamill-law.com/bedsore4.jpg  http://tidsskriftet.no/lts-img/2011/L11-ENG-09-1472-01-Over.jpg http://tidsskriftet.no/lts-img/2011/L11-ENG-09-1472-01-Over.jpg  http://www.wjes.org/content/2/1/10/figure/F17 http://www.wjes.org/content/2/1/10/figure/F17  http://www.visualphotos.com/photo/1x9083430/Pressure_Sore_on_Heel_AB681A.jpg http://www.visualphotos.com/photo/1x9083430/Pressure_Sore_on_Heel_AB681A.jpg  http://www.sciencephoto.com/image/263094/530wm/M2800097- Close_up_of_pressure_sore_ulcer_on_heel-SPL.jpg http://www.sciencephoto.com/image/263094/530wm/M2800097- Close_up_of_pressure_sore_ulcer_on_heel-SPL.jpg  http://www.medical-definitions.com/images/decubitus.jpg http://www.medical-definitions.com/images/decubitus.jpg  http://seattletimes.nwsource.com/ABPub/2010/09/09/2012855576.jpg http://seattletimes.nwsource.com/ABPub/2010/09/09/2012855576.jpg


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