What Are The Signs And Symptoms Of Pressure Sore.
A pressure sore is an area which becomes inflamed, breaks down, and ulcerate; it is liable to develop over pressure areas.
SIGNS AND SYMPTOMS
- Abrasion of the skin
- Discoloration of the skin
- A hot feeling over the area
- Appearance of a dusky reddish-purple area
- Development of an ulcer
- Sloughing of the central area of the ulcer ( A slough is a small area of dead tissue)
- Stinging pain over the area
Treatment of patients with pressure sore aims at:
- Curing the pressure sore
- Preventing the entry of micro-organisms
- Completely relieving the area of pressure, therefore not restricting the blood supply.
The aims in curative treatment are:
- Stimulating the growth of granulation tissue.
- Removal of the slough.
Curative treatment should be carried out with all aseptic precautions. The actual method of doing dressings with this technique will described in a later chapter.
LOTIONS THAT CAN BE USED
- To remove the slough, eusol dressings are frequently applied.
- For healing, acriflavine may be applied.
- To stimulate granulation tissue, red lotion dressings are used.
Many senior nurses and doctors have their own methods of treatment which they have found to be successful.
This is the type of ulcer that may occur where nutrition in a particular area is poor. They are liable to occur when there is disease or damage to the nervous system, particularly in association with the motor nerves, example, in injuries of the spinal cord, in anterior poliomyelitis and peripheral nerve leisons. The ulcer may begin like a pressure sore, as a patch of discoloration of the skin, a purpuric patch ( this means a patch showing a purple coloured spots on the skin), or a blister.
The preventive treatment is vitally important in conditions such as those mentioned above to avoid the occurrence of such ulcers. All preventive measures must be taken. Especially changing the position of the patient in every one hour intervals. The patient should be moved little by little to avoid friction. Special mattresses like water bed should be used and wool rings should also be used for heels and elbows. The patient should be bed-bathed daily, special attention should be paid to areas where two skin surfaces come together. If may be by chance a trophic ulcer does occur, it may be treated as a pressure sore; however, it is difficult to treat and a great deal depends upon the improvement of the patient’s condition.