Primary Care Physician
Dr. Orrange received her BA in Biology at the University of California, San Diego, and a Masters Degree in Health Sciences at the Johns Hopkins University School of Public Health. She received her MD from the USC Keck School of…
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The Basics of Pressure Sores (aka Bed Sores)
Posted in Caregivers by Dr. Sharon Orrange on Feb 13, 2012
For caretakers and people with debilitating illness, bed sores can be a real pain in the butt. Bed sores, also known as pressure sores or decubitus ulcers, can turn in to serious business requiring surgical debridement and intravenous antibiotics.
- Pressure sores are areas of injured skin and tissue. They are caused by sitting or lying in one position for too long which puts pressure on certain areas of the body.

- Deep sores can go down into the muscle, or even to the bone. If pressure sores are not treated properly, they can become infected.

- Pressure sores usually develop over bony parts of the body that don't have much fat to pad them, like the heels, the hips, and the base of the spine.

- There are three keys to healing pressure sores: relieving the pressure that caused the sore, treating the sore itself, and improving nutrition.

- Foam pads or pillows, special mattresses, mattress covers, foam wedges or seat cushions can help to reduce or relieve pressure.

- If you cannot move by yourself, have your caregiver shift your position at least every hour, or more often if possible.

- Ask your doctor for a referral for wound care if you develop a pressure sore. Better dressings now exist like hydrocolloid dressings (bandage made of a gel that molds to the pressure sore.)

- To prevent bed sores from occurring it is important to keep your skin healthy. Keep your skin clean and dry. Pay special attention to the pressure points where sores are most likely to occur.
- Dr O.


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I have a 21 year old Down Syndrome daughter. She started deteriorating physically and mentally, about 5 years ago. Now she is permanently on oxygen, has been on nappies for 5 years now, is diabetic, is very overweight and can walk very short distances only, with my help.

Problem is that she started having bed sores on her bum now. She can only lie down, or sit up. Sitting in the same spot for hours seems to be the problem. Because she wears nappies, her bum is often wet. She can only sit on her bum, and moving her is a great effort. I got ointment from my chemist, which seems to help control the sores.

What more can I do to stop the bed sores from getting worse? I feel so helpless!
By Andelene  Feb 13, 2012
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