Prevention of pressure ulcers refers to the prevention of pressure ulcers by reducing the surface pressure between patients and objects they contact and shortening the time when pressure acts on local tissues.
(1) Method for reducing skin pressure
Keep the correct posture and try to avoid the compression of the protruding part of the bone.
Diligently changing body position and relieving oppression are the main principles to prevent pressure ulcers and the premise to treat them. Although various cushions, mattresses and straps have been continuously improved, good results have been achieved in the application of various turn-over beds, air-cushion beds or sand beds. But the most basic, simple and effective preventive measures are that nurses or their families turn over the patient, or the patient changes his position regularly. Change it at least every two hours
When holding or transferring the patient, avoid the friction and collision between his body and the bed.
Choose a suitable seat. If the elderly have strong upper limbs, they can be encouraged to support their bodies with their hands every 30 minutes 10 seconds to reduce the chance of sciatic compression ulcer.
Consider using various types of decompression tools.
(2) Other methods to reduce skin pressure
Keep clothes and sheets clean, tidy and dry.
Avoid heavy objects, such as heavy bedding or warm water bags, pressing on the limbs.
Avoid too tight dressing of the wound.
Nursing staff should avoid long nails or wearing ornaments to avoid hurting the skin of the elderly.
(3) Relieve the oppression on the bony process: use soft pillows, foam plastics, sponges and other items to drive away the bony process.
(4) Skin care
Keep the skin of the elderly clean and hygienic; Change diapers frequently for the elderly who are incontinent, so as to reduce the chance of skin infection.
Carefully observe the skin health of the elderly, and treat them as soon as possible if there are signs of early pressure ulcers.
(5) Balanced nutrition.
Eat more nutritious and high-protein foods such as meat, eggs, milk and beans to keep your skin healthy.
(6) Observe the skin: check the whole body skin at least once a day, especially the parts prone to pressure ulcers. Patients in acute phase can be treated by doctors, nurses and family members. Patients in chronic stage can use hand mirror for self-examination. When finding abnormal skin, they should take immediate relief measures to prevent the disease from developing.
(7) Support training: For patients living in wheelchairs for a long time, in order to reduce the pressure on their hips, they should practice supporting the bed surface and chair armrest with both hands to lift their hips. If your hands are weak, you can tilt your upper body to one side, let the opposite hip leave the chair surface, and then tilt to the other side.
(8) Avoid even slight skin damage caused by lack of nerve control or malnutrition, which will lead to infection and evolve into a wound similar to a pressure sore. Therefore, special attention should be paid to the removal of foreign bodies on the bed surface and seats. Trauma should also be prevented in training.
(9) Strengthen malnutrition patients, because the skin's tolerance to crush injury is reduced, pressure ulcers are prone to occur and it is difficult to heal. Therefore, attention should be paid to increasing protein and high-calorie diet to prevent anemia and hypoproteinemia.
Should meet the requirements! If it's to prevent pressure sores from healing, I personally suggest using high ointment to try! The effect is good! Mainly Chinese medicine has no side effects!