Whenever I am working with a patient or family, one of my first thoughts is always 'how do we improve their quality of life?' Now everyone has a different idea of a great quality of life. Some people think you need to a lot of money, or kids, your health, or a nice car, friends, etc. My idea of quality of life is being able to do whatever it is you want to do. Have kids, see your kids get married, walk around the block, visit friends, go to college. Skin breakdown can change a lot of things for someone's quality of life. Pressure injuries, also known as bed sores, are a common concern for those who spend extended periods in bed or seated. For those who have loved ones with limited mobility or prolonged bed rest, pressure injuries are a great risk.
Pressure injuries / Bed sores develop when pressure restricts blood flow to certain areas of the body, typically over bony prominences like the heels, hips, tailbone, and elbows. Without adequate blood supply, the affected skin becomes vulnerable to damage and may eventually break down, leading to open wounds known as pressure injures. Besides pressure, factors such as friction, moisture, poor nutrition, and compromised skin integrity can exacerbate the risk of bed sores. The good news is that skin breakdown can be prevented.
Proactive Prevention Strategies
1. Regular Position Changes: Encourage individuals at risk of bed sores to change positions frequently. Repositioning every two hours helps redistribute pressure and alleviate stress on vulnerable areas.
2. Support Surfaces: Invest in pressure-relieving mattresses, cushions, and padding to minimize pressure on bony areas. Alternating pressure or low-air-loss mattresses can provide additional support and comfort.
3. Skin Care Regimen: Maintain proper skin hygiene by keeping the skin clean, dry, and moisturized. Use mild, pH-balanced cleansers and apply moisturizers to prevent dryness and skin breakdown.
4. Nutrition and Hydration: Ensure individuals consume a balanced diet rich in protein, vitamins, and minerals to support skin health and wound healing. Adequate hydration is also essential for maintaining skin integrity.
5. Regular Inspections: Conduct routine skin assessments to identify early signs of skin damage or pressure injuries. Pay close attention to areas prone to pressure, such as the heels, buttocks, and sacrum.
Healthy skin takes work! Good luck and keep checking.
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