Recommending an Evidence-Based Practice Change

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Decubitus Ulcers

Leslie Hill

Walden University

3/15/2020

Introduction

  • Decubitus ulcers are the open skin wound which is sometimes described as the pressure ulcers, bed sore, and the pressure sore.
  • The skin appear red and discolored and when the pressure is relieved
  • The skin is breaking down and the tissue undergoes necrosis.
  • The pressure is cutting the supply of blood into the skin and causing injuries to the tissue cells.
  • Decubitus ulcer is common in the skin covered with the bony areas of the body for example the buttocks and the hip area, tailbone, ankles, elbows, and heel, and the back or shoulder blades (Coleman, et al., 2013).

Decubitus ulcers are the open skin wound which is sometimes described as the pressure ulcers, bed sore, and the pressure sore. In this type of skin, the skin appear red and discolored and when the pressure is relieved, the skin is breaking down and the tissue undergoes necrosis. The pressure is cutting the supply of blood into the skin and causing injuries to the tissue cells. Decubitus ulcer is common in the skin covered with the bony areas of the body for example the buttocks and the hip area, tailbone, ankles, elbows, and heel, and the back or shoulder blades.

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Cont’d

  • The treatment of the disease is depending on the stage of the disease.
  • One of the treatment approach is the cleaning of the ulcer and putting a dressing on the wound.
  • There is also meticulous wound care with occasional dressing.
  • It is also important to reposition and support the surfaces to help in the reduction of the pressure(Irmak, Bas, Sizmas, Akbulut, & Karsidag, 2019) .

Treatment of the Decubitus ulcers

The treatment of the disease is depending on the stage of the disease. One of the treatment approach is the cleaning of the ulcer and putting a dress on the wound. There is also meticulous wound care with occasional dressing. It is also important to reposition and support the surfaces to help in the reduction of the pressure.

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Cont’d

  • The antibacterial medication also helps in the treatment of the infection.
  • Pain relieving medication helps in relieving the discomfort.
  • The dead tissues from the ulcers can be removed through debridement surgery.
  • Changes in the diet is also recommended in addition to the increase in the fluid intake for quicker recovery (Norman, Dumville, Moore, Tanner, Christie, & Goto, 2016).

The antibacterial medication also helps in the treatment of the infection. Pain relieving medication helps in relieving the discomfort. The dead tissues from the ulcers can be removed through debridement surgery. Changes in the diet is also recommended in addition to the increase in the fluid intake for quicker recovery.

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Key words

  • Decubitus ulcers
  • Pressure ulcers skin ulcer
  • Pressure sore
  • Risk factors (Irmak, Bas, Sizmas, Akbulut, & Karsidag, 2019).

The key words used for the research include decubitus ulcers, pressure ulcers skin ulcer, pressure sore, risk factors,

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  • Cochrane Database of systematic Review
  • Pubmed
  • ScienceDirect
  • ProQuest Health & Medical Collection

Database used for the search

References

  • Ferris, A., Price, A., & Harding, K. (2019). Pressure ulcers in patients receiving palliative care: A systematic review. Palliative Med, 33 (7), 770-782.
  • McGinnis E, Brown S, Collier H, Faulks P, Gilberts R, Greenwood C, et al. Pressure Relieving Support SUrfaces: a Randomised Evaluation 2 (PRESSURE 2) photographic validation sub‐study: study protocol for a randomized controlled trial. Trials 2017;18(1):132
  • Norman, G., Dumville, J. C., Moore, Z. E., Tanner, J., Christie, J., & Goto, S. (2016). Antibiotics and antiseptics for pressure ulcers. Cochrane Library.
  • Schlüer, A. B. (2017). Pressure ulcers in maturing skin–a clinical perspective. Journal of tissue viability, 26(1), 2-5.