1. Bedsores (Decubitus Ulcers)

2. Stage I
Red or blue-gray discoloration

3. Stage 1

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

5. Stage 2

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

7. Stage 3

8. Stage 3

9. Stage 4
Damage extends to muscle, tendon and bone

10. Stage 4

11. Stage 4

12. Stage 4

13. 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.

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

15. 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

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