Bedsores: Symptoms, Cause & Treatment
What are the symptoms of bedsores?
Bedsores, also known as pressure ulcers or pressure sores, typically develop on areas of the skin that are subjected to prolonged pressure. They often occur in people who are bedridden, use a wheelchair, or are unable to change their position regularly. The symptoms of bedsores can vary depending on the severity of the condition, but common symptoms include:
- Skin discoloration: The affected area of skin may appear red, purple, or blue in lighter-skinned individuals, and may appear darker in individuals with darker skin tones.
- Skin temperature changes: The affected area of skin may feel warmer or cooler than the surrounding skin.
- Swelling: The skin around the affected area may be swollen or feel spongy to the touch.
- Pain or tenderness: The affected area may be painful or tender to the touch.
- Changes in skin texture: The skin may feel firmer or softer than usual, and may be dry or flaky.
- Open wound: In more severe cases, the skin may break open, forming an ulcer or sore. The wound may be shallow or deep, and may be accompanied by pus or other drainage.
- Necrosis: In the most severe cases, the tissue beneath the skin may die, leading to a deep, crater-like wound.
It’s important to note that bedsores can develop quickly, especially in individuals with limited mobility or sensation. Therefore, it’s important to regularly check the skin for any signs of pressure ulcers and take steps to prevent their development. If you or a loved one is at risk for bedsores, speak with a healthcare provider for guidance on prevention and treatment.
What are the causes of bedsores?
Bedsores, also known as pressure ulcers or pressure sores, are caused by prolonged pressure on the skin, usually in combination with friction and shear. They typically develop in areas of the body where the bones are close to the skin surface and are subjected to pressure from prolonged sitting or lying down. Common causes of bedsores include:
- Pressure: Pressure from prolonged sitting or lying down can reduce blood flow to the skin, leading to tissue damage and the formation of bedsores. Areas most at risk include the back of the head, shoulders, elbows, lower back, hips, heels, and ankles.
- Friction: Friction occurs when the skin rubs against bedding, clothing, or other surfaces, leading to irritation and breakdown of the skin. This can make the skin more susceptible to pressure-related damage.
- Shear: Shear occurs when the skin is pulled in one direction while underlying tissues are pulled in another direction. This can occur when a person slides down in bed or is pulled up in bed without being lifted properly, causing damage to the skin and underlying tissues.
- Moisture: Excessive moisture from sweat, urine, or feces can soften the skin and make it more prone to damage from pressure, friction, and shear. Moisture can also increase the risk of infection, which can further damage the skin.
- Poor nutrition: Malnutrition or dehydration can weaken the skin and reduce its ability to withstand pressure, increasing the risk of bedsores.
- Medical conditions: Certain medical conditions, such as diabetes, peripheral vascular disease, or spinal cord injury, can increase the risk of developing bedsores due to reduced blood flow, impaired sensation, or limited mobility.
- Age: Older adults are more susceptible to bedsores due to changes in skin integrity, reduced mobility, and other age-related factors.
Preventing bedsores involves relieving pressure on vulnerable areas, maintaining good skin hygiene, and addressing underlying medical conditions that may increase the risk of developing bedsores.
What is the treatment for bedsores?
The treatment for bedsores, also known as pressure ulcers or pressure sores, depends on the severity of the sore and the underlying cause. Treatment aims to relieve pressure on the affected area, promote healing, and prevent infection. Common treatments for bedsores include:
- Relieving pressure: The first step in treating bedsores is to relieve pressure on the affected area. This may involve changing positions frequently, using special cushions or mattresses to reduce pressure, and ensuring proper support for the body.
- Cleaning and dressing the wound: The sore should be gently cleaned with a mild soap and water to remove any debris or dead tissue. A dressing may be applied to protect the wound and promote healing.
- Removing damaged tissue: In some cases, dead or damaged tissue may need to be removed to allow the wound to heal properly. This process, known as debridement, can be done surgically or with the use of special dressings.
- Managing pain: Pain management is an important part of treating bedsores. Pain medications may be prescribed to help alleviate discomfort.
- Preventing infection: Keeping the wound clean and protected is essential to prevent infection. Antibiotics may be prescribed if an infection develops.
- Improving nutrition: A healthy diet rich in protein, vitamins, and minerals is important for promoting wound healing. In some cases, nutritional supplements may be recommended.
- Surgery: In severe cases, surgery may be necessary to repair the wound and surrounding tissue. This may involve skin grafts or other procedures to promote healing.
It’s important to work closely with a healthcare provider to develop a treatment plan that is tailored to your individual needs. Prevention is key when it comes to bedsores, so it’s important to take steps to reduce the risk of developing them, especially if you are at increased risk due to factors such as immobility or advanced age.