Therapy elements

Manage the cause as well as the wound.

A holistic approach needs to be taken when treating pressure ulcers. In addition to wound management, successful treatment should also involve further therapeutic measures.

 

Pressure relief

A variety of aids are available which help reduce the pressure on the affected skin areas. Soft positioning systems, for example, serve to enlarge the contact area. The distribution of pressure over the largest possible area or intermitting pressure relief are key here. Today, the use of “traditional” aids such as furs, water mattresses, sitting rings and cotton dressings is no longer recommended.

 

Positioning techniques

The pressure can be relieved via various positioning techniques. Make use of the classic 30° oblique position and ensure a frequent change.

 

Pain treatment

The majority of pressure ulcers is a source of pain which must be treated. It is recommended to keep a record of the pain, for example by keeping a diary.

 

Restoring circulation

An essential goal of treatment is restoring circulation to the skin area affected. This is achieved by systematically relieving the pressure on the area and by mobilising the patient, if possible.

 

Incontinence care

Especially in the care of incontinent patients the risk of skin maceration and diaper dermatitis are ever-present. Wide-area treatment with a film-forming cream provides a protective barrier.

 

Protection of wound edges

Wound edges are often impacted by body fluids and exudate, leading to maceration and subsequently to further enlargement of a wound. A protective film, precisely applied by a foam applicator, re-establishes the skin’s barrier function and protects the surrounding skin from damage by adhesive dressings.

 

Nutrition

Patients with pressure ulcers have increased energy and protein requirements and need a special diet. A diet containing sufficient vitamins and minerals clearly supports the healing process.