How do you treat a decubitus ulcer?
Caring for a Pressure Sore
- For a stage I sore, you can wash the area gently with mild soap and water.
- Stage II pressure sores should be cleaned with a salt water (saline) rinse to remove loose, dead tissue.
- Do not use hydrogen peroxide or iodine cleansers.
- Keep the sore covered with a special dressing.
What causes a decubitus ulcer?
What causes a decubitus ulcer? Prolonged pressure is essentially the main cause of a decubitus ulcer with other factors such as moisture, poor circulation, and poor nutrition contributing. Lying on a certain part of your body for long periods may cause your skin to break down.
How do you measure a decubitus ulcer?
Measure the length “head-to-toe” at the longest point (A). Measure the width side-to-side at the widest point (B) that is perpendicular to the length, forming a “+”. Measure the depth (C) at the deepest point of the wound. All measures should be in centimeters.
Can a nurse stage a pressure ulcer?
When a RN “stages” a pressure ulcer it may be a part of the overall nursing assessment of the client for purposes of providing nursing care, e.g., determining the nursing care that will be necessary pertaining to the client with a wound.
What are the stages of a decubitus ulcer?
Stages of decubitus ulcers
- Stage 1. The skin isn’t broken, but it’s discolored.
- Stage 2. There is breakage in the skin revealing a shallow ulcer or erosion.
- Stage 3. The ulcer is much deeper within the skin.
- Stage 4. Many layers are affected in this stage, including your muscle and bone.
Can you get sepsis from ulcers?
Common infections related to pressure ulcers include localized infections (infection in the immediate area), cellulitis, and osteomyelitis. These and other infections can all lead to sepsis. Sometimes incorrectly called blood poisoning, sepsis is the body’s often deadly response to infection.