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Decubitis Ulcers1

1. Decubitis Ulcers are also known as bed sores.(Marsh 1) They are mostly seen in Geriatrics patients. They occur in people who are put on bed rest, or long periods of wheelchair use. “A traumatic decubitis ulcer is precipitated by continuous pressure on the skin and deep tissue with ischemic necrosis” (Plewig 369). These particular ulcers are mainly found on bony parts of the body. They develop when the cells die because there is a tremendous amount of pressure put on the skin and it is trapped between a mattress or chair and tiny blood vessels collapse. The parts of the body that are affected by these ulcers are the back of the head, ear, shoulders, elbows, hips, sacrum, knees, ankles, and heels. Decubitis ulcers can be classified into three grades. (1) Area is more reddened, skin is dry. (2) Area is more reddened, epidermal layer of the skin is broken, and blisters form. (3) Deeper layers of the skin are affected, blisters are broken open, and bone may be visible. (Hegner, Caldwell 421)

2. Before treating decubitis ulcers, viewing of the nurse or caregivers feelings about the care is important. Heshe should determine whether or not they agree with the patien


take her vital signs and record them. Then I would start changing the dressing on the ulcer.

or wrinkled because that is harmful to the skin. I would also look on the chart to see how

While I’m changing the dressing I would look for and record everything that I see on the

also check what her diet is and try to get her to eat more nutritious foods and a lot of foods

wound. (Lynch 909) Then, I would give her a bath, making sure her bed sheets are not wet



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Approximate Word count = 1367
Approximate Pages = 5 (250 words per page double spaced)


  

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