Nursing Management for Decubitus
Decubitus management begins with vigilance to prevent pressure sores by getting to know people with a high risk of pressure sores, for example in patients immobilized.
Attempts to determine the risk of pressure sores among others by using a scoring system Norton. Scores below 14 indicate a high risk for the occurrence of pressure sores. With evaluation scores can be seen the development of the patient.
The next action is to maintain the cleanliness of the people, especially the skin, to bathe every day. After drained then rubbed with lotion, especially in the skin that exist in the bone protrusions. Should be given massase for blood circulation, all excreta / screta must be cleaned carefully agari not cause blisters on the skin of the patient.
Further action is useful both for prevention and after the occurrence of pressure sores another antaral:
1. Improving the health status of the patient;
general; repair and maintain the general state of the patient, for example overcome anemia, hypoalbuminemia corrected, the nutrients and adequate hydration, vitamins (vitamin C) and minerals (Zn) is added.
Special; trying to cope with / treat diseases that exist in people, eg DM.
2. Reduce / equalize the pressure factors that interfere with blood flow;
a. Switch position / switch lying / sleeping alternating least every two hours long. Objection to this approach is the reliance on nurses who sometimes have very less, and sometimes disturbing break sufferers, even painful.
b. Special mattresses to more evenly press that occurs in the patient's body, for example; mattress with air bubbles press the up and down, the water mattress with adjustable water temperature. (mind this sophisticated equipment is expensive, the treatment should be good and can be damaged).
c. Stretch the skin and skin folds that cause local blood circulation is interrupted, can be reduced, among others;
Maintain the position of the patient, whether put to sleep flat on the bed, or been allowed to sit in a chair.
Help support beam legs, small cushions to withstand the patient's body, "donut" to heel,
So also look skin hyperemia in the patient's body, especially in places that often occur decubitus, above all efforts made with more care to improve the ischemia that occurs, because once tissue damage recovery efforts will be more complicated.
Attempts to determine the risk of pressure sores among others by using a scoring system Norton. Scores below 14 indicate a high risk for the occurrence of pressure sores. With evaluation scores can be seen the development of the patient.
The next action is to maintain the cleanliness of the people, especially the skin, to bathe every day. After drained then rubbed with lotion, especially in the skin that exist in the bone protrusions. Should be given massase for blood circulation, all excreta / screta must be cleaned carefully agari not cause blisters on the skin of the patient.
Further action is useful both for prevention and after the occurrence of pressure sores another antaral:
1. Improving the health status of the patient;
general; repair and maintain the general state of the patient, for example overcome anemia, hypoalbuminemia corrected, the nutrients and adequate hydration, vitamins (vitamin C) and minerals (Zn) is added.
Special; trying to cope with / treat diseases that exist in people, eg DM.
2. Reduce / equalize the pressure factors that interfere with blood flow;
a. Switch position / switch lying / sleeping alternating least every two hours long. Objection to this approach is the reliance on nurses who sometimes have very less, and sometimes disturbing break sufferers, even painful.
b. Special mattresses to more evenly press that occurs in the patient's body, for example; mattress with air bubbles press the up and down, the water mattress with adjustable water temperature. (mind this sophisticated equipment is expensive, the treatment should be good and can be damaged).
c. Stretch the skin and skin folds that cause local blood circulation is interrupted, can be reduced, among others;
Maintain the position of the patient, whether put to sleep flat on the bed, or been allowed to sit in a chair.
Help support beam legs, small cushions to withstand the patient's body, "donut" to heel,
So also look skin hyperemia in the patient's body, especially in places that often occur decubitus, above all efforts made with more care to improve the ischemia that occurs, because once tissue damage recovery efforts will be more complicated.
