How to prevent pressure sores after a fracture

Bedsores are redness in the early stage, which can be improved after taking measures such as turning over and decompressing. When there is superficial ulceration, ulcer, and exudate, you should go to the hospital in time to receive it**.

1 Bedsore** principle.

1) Patients with severe pressure sores should choose ice callus ointment immediately after the symptoms are discovered**. First of all, the wound is disinfected and cleaned with normal saline, and the ointment is directly applied to the wound, and the pain is immediately relieved in about 15 minutes, and at the same time, there are secretions (at the beginning are water spots, water droplets, pus and blood, carrion and other foreign bodies) and will automatically fall off, and the wound is observed to be white, which is a normal phenomenon at this time.

2) Before the patient takes the drug, it is necessary to clean and pay attention to the removal of necrotic tissue, especially for patients with bedsores and diabetic foot, the wound should be carefully checked, and the necrotic muscle keys should be treated if necessary to avoid future troubles.

3) For patients with severe bedsores and diabetic feet, it is best to change the medicine twice a day during the sore-clearing period, the purpose is to remove the exudate in the wound at any time, and it is best to expose it if conditions permit, which can effectively shorten the time.

4) Under normal circumstances, it takes about 7 days for superficial pressure sores, and about 12 to 15 days for deep sores. **About 5 8 cm bedsores and diabetic feet need to be used for about 10 15 sticks, and the time will take about 20 30 days.

It is very common for elderly patients to be bedridden for a long time and do not pay attention to daily care, and surgery is not recommended**, you can try traditional Chinese medicine**conservative**. In fact, if you want to be effective, the most important thing is to avoid pressure again, and the nursing work must be done well. The medication should also be insisted on, and the dressing should be changed according to the severity of the disease.

In terms of diet, you can strengthen nutrition, you can eat more fresh vegetables and fruits and high-protein foods, and you should also pay attention to effective exercise.

Depending on the physical condition of the fracture patient, if he can move, the fracture patient does not need to use an anti-decubitus mattress.

There are three preventions of pressure sores, one is that the mattress is soft and breathable; the second is to turn over frequently and keep the body clean and dry; The third is to cushion the pressure part with a soft gasket ring and massage more. Decubitus pads are specifically designed to prevent bedsores. He carries away the moisture in the bedding through the circulating air current, keeping the patient and the bed linen dry and clean.

There is also a continuous circulation of the air valve, and the pressure on the physical surface is constantly changing, which effectively improves blood circulation and plays a role in preventing decubitus.

The clinical manifestations of pressure sores can be seen as a series of activities. The color depth varies from red to white, with no tissue loss, and the depth of destruction extends to muscles, joint capsules, and bones. **Early changes, leukoerythema is characterized by strong changes in erythema, changing from pink to bright red.

It turns white when pressed with the finger, and the erythema quickly reappears when the finger is released. The increased temperature in the reddened area is often accompanied by slight edema and, if sensation is normal, pain may be present. Within 24 hours after the stress is relieved** to return to normal without sequelae, use Boxu Tang muscle cream and other drugs in time ** to avoid deterioration of the condition.

From the perspective of a large number of clinical cases, among the bedsore patients who have been treated, as well as the data of the previous bedsores patients, orthopedic patients with fractures, spinal injuries, and recent surgery are the most common groups of bedsores. As the saying goes: if you stay in bed for a long time and remain motionless for more than two hours, the compressed local bony prominences will be red.

It's just that everyone pays too much attention to the fracture site, and does not pay attention to the prevention and treatment of this part, because most orthopedic patients need to stay in bed for a long time, therefore, it is very easy to develop bedsores, orthopedic bedsores mostly occur in the occipital region, the bony process of the lower body: such as the greater trochanter, sacral tail, ischial tuberosity, inner and outer ankle and heel. After the onset of the patient's illness, the family members take care of the patient for early healing and do not let the patient do any activities, and the patient himself neglects to exercise and does not have enough awareness of the prevention of pressure sores, so it will lead to pressure sores.

Therefore, fracture patients should pay attention, pay attention to turning over regularly, and exercise early when the situation allows, there should be no major problems.

This kind of local redness should pay attention to disinfection and care to avoid aggravation. Long-term bed rest should be changed frequently, usually every 2 hours, and the interval can be shortened if necessary. When turning over, the patient should be lifted, taking care to avoid dragging, pulling, and pushing.

Observe local and acral** color changes at any time. A pressure sore cushion can be used to reduce pressure.

What I give to the elderly at home is the kind of professional bedsore pad, electric inflatable cushion, automatic circulation, you don't have to turn over the old man, saving a lot of time, and you don't have to worry about the old man will have bedsores, if you want to buy, you can go to the orthopedic hospital opposite the medical equipment to see, they are still more professional in this regard.

Be careful to keep **dry, it's winter, to prevent scalding and frostbite; Increase or decrease the frequency of turning over according to the condition of the pressure sore; The bedding should also be dried frequently, and the bedding should be neat and clean, without debris; Positive**Primary disease and so on.

Turn over and clean regularly**; Care should be taken to protect bony prominences, such as the lumbosacral region, heel, and ischial tuberosity, and cushion these areas that are prone to compression.

If the pressure sores are not symptomatic**, there will be pseudohealing, and the decaying tissue inside must be completely removed.

Hello, after the bedsore ** is cured, if you want to prevent the recurrence of the bedsore, you must do a good job of nursing.

How to care: Avoid long-term compression of local tissues; Keep bed linen and bedding clean and tidy; Patient nutrition must keep up; Avoid pulling and pulling; Avoid the occurrence of trauma, etc.