Review on Pressure Sores
Journal Title: Journal of Pharmaceutical and Biomedical Sciences - Year 2016, Vol 6, Issue 1
Abstract
Pressure sore is a localised injury to the skin and underlying tissue caused due to unrelieved pressure on pressure points or bony prominences. The predisposing factors causing pressure ulcers are both intrinsic and extrinsic. Patients who are generally at risk, are those confined to bed or chair and unable to move without help. According to NPUAP (National pressure ulcer advisory panel), pressure ulcers can be categorised into four stages, and an unstageable category also exists. Staging helps to select the mode of treatment. Diagnosis is mainly by MRI, bone scan, bone biopsy and blood culture, if necessary. As the cost of treatment and complications due to pressure sores increase with the period of stay, it is better to adopt preventive methods strictly to “at risk” patients. Prevention includes, identification of “at risk” patients using the three risk assessment scales and follow interventions to reduce the risks. Goals of treatment consist of resolution of infection, promotion of wound healing and effective infection control and in advanced stages, use of newer approaches like negative pressure wound therapy (VAC therapy-vacuum-assisted closure) and surgery.
Authors and Affiliations
Kiran Madhusudhan
Keywords
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