A decubitus ulcer is a pressure sore commonly call Bed Sores or pressure ulcer. It can range from a very mild pink coloration of the skin, which disappears in a few hours after pressurae relieved on the area, to a very deep wound extending to and sometimes through internal organs and in the Bone. These wound are classified according to the severity of the wound, ussually in Four Stages:
- Stage I – Intact skin with non-blanchable redness of a localized area over a bony prominence Darkly pigmented skin may not have visible blanching its color may differ from the surroundinf area. Area may be painful, firm, soft, warmer or cooler as compared to adjacent tissue. Stage I may be difficult to detect in individuals with dark skin tones. May indicate”at risk” person.
- Stage II – Partial thickness loss of dermiss presenting as a shallow open ulcer with a red pink wound bed, without slough. May also present as an intact or open/ raptured serum-filled blister
- Stage III – Full thickness tissue loss. Subcutaneous fat may be visble but bone, tendon or musclE are not exposed. Slough may be present but does not obscure the depth of tissue loss. May include undermining and tunneling.
- Stage IV – Full thickness tissue loss with exposed bone, tendon or muscles. Slough or eschar may be present on some parts of the wound bed, often include undermining and tunneling.When Wounds already causing terrible pain its time for the care team get advise with the “WOUND MANAGEMENT’ with the Wound doctor.
FALL PREVENTION & EDUCATION
Mostly admited seniors to the hospital emergency causes of “FALL” its never too late to take measures to prevent falls, says Lyn Matsuzaki a physical therapist at UCLA outpatient Rehabilitation Services. Seniors can take measures to improve balance, prevent falls and stay active and functional.Falls can lead to afractur or other significant injuries that further limit mibility. Age -related changes can contribute to balance issues including descreased reaction time, decreased strength , diminished vision and ability to correct for being off balance.
Balance problems can begin in the 60s especially among sedentary adult may start to notice that their balance isn’t what it used to be and certain activities have become more”Patients may report they are not a confident walking on the uneven surface, like grass, and avoid these varied terrains, this could be an indication that balance is declining. We want patients to start learning how they can be safer. We educate patient and develop a program of exercises for them to follow home. Fall prevention & education to paitents and family members and their
caregivers to prevent injuries.