Care of Pressure Ulcers (Decubitus)
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What decubitus is and what the Alpha Wound Experts pay attention to
The medical term for pressure ulcer is decubital ulcer or decubitus, sometimes it is also referred to as pressure ulcer. Pressure ulcers often occur in people who are bedridden for long periods and cannot move properly. Therefore, in the therapy of burns or after surgical interventions, we pay special attention to ensure that no pressure ulcers develop. The care of the surgical wound is often the lesser problem. Due to immobility, a decubitus can develop. This requires frequent care by the Alpha Wound Experts. Targeted wound management is the most important prerequisite for complete healing.
Preventing pressure ulcers on the coccyx and heel
In 80 percent of cases, decubitus occurs on the sacrum or heel, i.e., in areas that bear the most weight when lying down. A pressure ulcer on the foot, not on the heel, is often the result of a disease. It may be due to an Ulcus Cruris, which is based on poor blood circulation. Sometimes it is also a diabetic foot. All employees of Alpha Wound Experts know the differences and know how you must act.
We prevent pressure ulcers on the coccyx and heel through proper positioning and relief of the corresponding areas. As aids, we use various positioning pillows. In addition, we ensure that the patient’s position is changed every 2 to 3 hours.
Overview of Decubitus Mattresses That Prevent Pressure Ulcers
How we treat decubitus on the buttocks
A pressure ulcer on the buttocks occurs less frequently in lying patients. These ulcers are typical for patients who sit in a wheelchair. Particularly problematic is that these people often have no sensation of pain in the lower part of the body. In addition, only a few positions are possible when sitting. During the personal wound visit, we must therefore pay attention to whether a decubitus is forming on the buttocks.
A so-called 135° positioning has also proven effective for a pressure ulcer on the coccyx and buttocks, in which the person lies almost in a prone position. To hold the position, we use two pillows, which we place under the upper body and the corresponding lower half of the body on one side respectively. Our specialists will be happy to show you how you can reposition the patient yourself accordingly.
Treatment process or Course of treatment
Our comprehensive service for optimal wound healing
A structured treatment process is crucial for the fast and complication-free healing of wounds. We provide personalized care to optimize the healing process.
1
Consultation & Assessment
The first consultation includes a thorough examination of the wound as well as a medical history to optimally plan the healing process.
2
Individual Treatment Plan
Based on the examination, an individual treatment plan is created, taking into account the patient’s specific needs and risks.
3
Treatment & Monitoring
During the treatment, the wound is regularly monitored to ensure healing progress and to make necessary adjustments.
4
Follow-up & Care
After the treatment, regular follow-up is provided to detect potential complications early and to support long-term healing.
Overview of Decubitus Grades
How quickly complete wound healing occurs depends both on the quality of wound care and on the grade of the decubitus
Characteristics of Decubitus Grade 1
The affected area shows a persistent redness that does not disappear when pressed. However, there is no wound yet. At this stage, specific treatment must begin. Important is immediate relief of the affected area.
Characteristics of Decubitus Grade 2
The erosion of the skin, i.e., of epidermis and dermis, has begun. A wound forms and the skin is damaged. Now it is important to ensure that the wound does not become infected.
Characteristics of Decubitus Grade 3
The epidermis, dermis, and hypodermis are affected. There is necrotic (black) tissue and scab. Important: The decubitus always appears smaller on the surface than it is in depth.
Characteristics of Decubitus Grade 4
Deep pressure ulcer, the necrosis extends deep into the tissue. Involvement of bones, tendons, and muscles is possible.
Complex wound care at home after surgery
Home wound care requires particularly extensive expertise when it comes to treating a surgical wound. Our experts know how to support wound healing after an operation. Naturally, the primary wound care takes place immediately after treatment in the hospital. We ensure the continued wound care at home.
Pressure Ulcer – Treatment Process
Normal wound care is not sufficient. Due to changes in sensitivity, the patient often does not feel the pain. The reflex to change position therefore does not occur.
The most important thing in treatment is to combat all factors that promote decubitus:
In addition to these measures, if the skin is damaged (from stage 2), appropriate wound cleaning and wound treatment must be performed by the nursing staff.
Alpha Wound Experts Train You in Preventive Measures
We are happy to provide you with specialized knowledge to prevent decubitus:
Contact the Alpha Wound Experts through our form Contact or call us at 030 / 600 33 977, or send an email (info@Alpha Wundexperten.de).
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