Pressure sores Flashcards
What is a pressure ulcer
localised damage to the skin and underlying soft tissue usually over a bony prominence or related to a medical device
How do pressure ulcers usually present
intact skin or open ulcer
result of intense/prolonged pressure / pressure in combination with shear
What are key diagnostic factors
use of non-pressure relieving support surface
localised skin changes on areas with pressure - develops into wound
localised tenderness and warmth around wound
increased exudate/foul colour
What are risk factors
immobility
sensory impairment
older age
surgery
malnourishment
What investigations are required
clinical diagnosis
wound swab if signs of infection
ESR and WBC to rule out osteomyelitis
serum glucose to exclude diabetes
What management is required
pressure- reducing aids and repositioning
hygiene and cleansing
analgesia
dietary optimisation
antibiotics if required
Debridement if deep ulcer with necrotic tissue
