Pressure ulcers are serious problems that affect over 9% of hospitalized patients.And over 23% of Nursing home patients. Pressure ulcers will result in:
Pressure ulcer is defined as:
Any lesion caused by unrelieved Pressure resulting in damage of underlying tissue located over a bony prominence and are graded or staged to classify the degree of tissue damage.
Stages of Pressure Ulcer.
Nonblanchable erytherma of intact skin ,the heralding lesion of the skin ulceration. In individual with darker skin, discoloration of the skin,warmth, edema,induration or hardness may also be indicators.
Partial thickness skin loss involving the epidermis, dermis or both.The ulcer is superficial and presents clinically as abrasion, blister or shallow crater.
Full thickness skin loss involving damage to or necrosis of subcutaneous tissue that may extend down to but not through underlying fascia.The ulcers present as deep crater with or without undermining of adjacent tissue.
Full thickness skin loss with extensive destruction,tissue necrosis or damage muscle, bone or supporting structures (examples tendon, joint capsule)Undermining and sinus tracts also may be associated with stage 1V Pressure ulcers.
Assessment of the pressure ulcers.
Assess for location, stage (Length, width and depth L× W× D),Size,Sinus tracts, Undermining, tunneling, Exudate, necrotic tissues. Pressure ulcer or absent of granulating tissues and Epithelization.
Reassess pressure ulcer atleast every week. If condition deteriorates re-evaluate treatment plan .Monitor progress of the wound. A CLEAN PRESSURE ULCER WITH ADEQUATE INTERVENTION AND BLOOD SUPPLY WILL SHOW EVIDENCE OF SOME HEALING WITHIN 2 – 4 WEEKS.