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         What are pressure wounds?

                                

                                Tissue damage caused by low blood circulation:

                                The damage occurs due to pressure, shearing, friction,

                                or a combination of the three.

        

        Who is at risk getting pressure wounds?                           

 

                       The threshold for pain increases with age. Hence,

                       the risk of pressure wounds increases. Other factors

                       that increase the risk are reduced movements in joints

                       and mobility, paralysis, incontinence, apathy, operational,

                       use of medicals, overweight, reduced blood circulation,

                       diabetes, insufficient nutrition.

                                                                   

        The four stages of pressure wounds                    

 

                                Pressure wounds develop in four stages. Bare in mind

                                that wounds often starts underneath the skin in the

                                subcutaneous tissue or muscle tissue. In most cases

                                diagnostics of the skin show indications of something’s

                                not being correct.

                                The first stage of a pressure wound can, however, be

                                hard to see and understand. Red skin can be due to

                                many things, such as urine and excrimation. Be aware

                                that stage 1 wound can easily develop to stage 2 and 3

                                very fast! If unsure about the red skin it should always be

                                treated as pressure wound.

 

         Stage 1:

                                Red skin

                       Outer skin is not damaged (epidermis)

 

Stage 2:

                       Bladders

                       Shiny skin

 

 

Stage 3:                                                        

                       Outer skin is damaged and open (epidermis)

                       Open wounds, wounds and/or necrosis in  

                       subcutaneous tissue, but not affecting the muscle   

                       tissue.

 

 

Stage 4:                                                        

                       Severe damage to muscle tissue with necrosis all

                       the way to the sinew and bones.

 

 

Risk evaluation                                                

                       A systematic risk evaluation is required to identify

                       the patients that run the risk of developing pressure wounds.

                                There are different methods to identify these patients.

                                The most common method is the Nortonscale.

 

 

 

Proactive actions                                                    

                                        Carebed reduces the pressure against the skin.

                                Hence reducing the risk of getting pressure wounds.

                                        Carebed reduces the pressure by an average of 50%   

                                in exposed areas (Heel, bottocks and hips) according to

                                measurements done at Salisbury District Hospital, Salisbury,

                                England 1998.

 

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