Pressure Sores Flashcards
Define pressure sores.
Localised injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure or of pressure in combination with shear.
Explain the aetiology/risk factors of pressure sores.
Immobility
Sensory impairment
Older age
Surgery
Intensive care stay
Malnourishment
Summarise the epidemiology of pressure sores.
A comparative study of patients with pressure ulcers in the UK, US, and Canada demonstrated prevalence in hospitalised patients of 4.7% to 32.1%.
Recognise the presenting symptoms of pressure sores. Recognise the signs of pressure sores on physical examination.
Shallow open wound or tissue loss on areas subjected to pressure
Localised tenderness and warmth around area of wound
Increased exudate and/or foul odour
Identify appropriate investigations for pressure sores and interpret the results.
Diagnostic tests are not used to make the diagnosis of pressure ulcers but may help in diagnosing complications of pressure ulcers including wound infection and osteomyelitis.