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Bedridden patient has large and small redness on his back

2007-01-15 08:18:31 · 1 answers · asked by Roscoe S 1 in Health Diseases & Conditions Skin Conditions

1 answers

Shearing and friction causes skin to stretch and blood vessels to kink, which can impair blood circulation in the skin. In a person confined to bed, shearing and friction can occur when the person is dragged or slid across the bed sheets. This can also occur when the head of the bed is raised more than 30 degrees. This increases shearing forces over the lower back and tailbone.


Moisture and wetness from perspiration, urine or feces can make the skin too soft and more likely to be injured by pressure. For this reason, people who can't control their bladders or bowels (incontinent) are at high risk of developing bedsores.


Bedsores are common in people who can't move because they are paralyzed, recuperating from surgery for a prolonged time, being treated in intensive care for a long time, or are incapacitated by severe arthritis, stroke or a neurological problem such as multiple sclerosis. (People who can move without assistance have a lower risk of bedsores because they can shift their weight periodically.)

Make sure that the patient is turned every hour in order to prevent further damage to his/her skin. Use extra pillows for repositioning if needed. Bedsores can result in extreme pain for the patient as well as infection. Have a nurse or doctor look at the redness on the patient's back and express your concern. Don't hesitate to ask questions about how to reposition patients. Catch developing bedsores early! There are four different stages. Please, please read the following information.
Below are some pictures of what present redness can quickly turn into;
http://www.dermnetnz.org/reactions/bedsore.html

http://www.nursinghomeabuseresourcecenter.com/injured/bedsores/

http://www.surgeryencyclopedia.com/A-Ce/Bedsores.html

Good luck to you (and the patient)!

2007-01-15 08:45:25 · answer #1 · answered by Mary R 5 · 0 0

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