About the treatment and care of pressure sores or decubitus ulcers

  Patient: Description of condition (onset, main symptoms, hospital visited, etc.): onset a month ago, now smells, palm-sized wound, depth can see bone. The wound is now smelling and the bone can be seen in depth.  Doctor: Pressure sores require a systematic treatment. First, it is important to keep the parts prone to pressure sores (all bony protrusions) from being pressurized or not pressurized for a long time, such as using pressure sore washers, emptying bony protrusions, and regularly turning over and changing positions to prevent certain parts from being pressurized for a long time. Secondly, for the treatment of the wound, keep the drainage open, clean the wound regularly with saline or iodophor, then use some anti-infection ointment, such as Bactroban, Vernor, etc. apply, then use Vaseline oil gauze single layer cover, external sterile gauze or cotton pad wrapping, about 3-4 days to change once can be. Secondly, for family members, they need to put down their ideological baggage and not overly pursue that pressure sores must be completely cured, because there are often still reasons for the appearance of pressure sores, such as frailty in old age, paraplegia, stroke, long-term bed rest, and other inaccessible activities, with the basis for the appearance of pressure sores, which are difficult to heal, but can get better and gradually heal under good control, although do not be in a hurry, as patients do not Patients are not in pain because of the presence of pressure sores, as long as they are controlled so that they do not become infected. By taking care of these things, pressure sores should improve and be controlled. For surgery, it is sometimes considered as a last resort or when the patient’s physical condition permits.