Nursing Care: Making a Big Difference in Stage 3 Bed Sore

Manju Chhugani, Sweta Mary Jacob, Merlin Mary James

Abstract


Efficient nursing care with regular assessment, positioning, exercises and the prescribed treatment improved the condition of the patient and it took 4 months for healing of bed sores. This case report concerns a 78-year-old bed-ridden elderly woman, diagnosed with Parkinson’s disease, rheumatoid arthritis and stageIII bed sore. The patient was admitted to the special ward of Hakeem Abdul Hakeem Centenary Hospital (HAHC), New Delhi, with the chief complaints of poor intake of food, pain in legs and back, fatigability since one month and a sore in the buttock and the right iliac spine region as she was bed ridden. During physical examination, the patient was conscious and oriented but the slurring of speech was present, tremors were there, lead pipe rigidity was present, gait could not be assessed, the GCS score was 15/15. She had stage 3 bed sore [6 cm*8 cm]. Contractures in elbow, wrist hand, and knee were present. After all the investigation, she was diagnosed with malnourishment with Parkinson and rheumatoid arthritis and stage 3 bed sores in right iliac region and sacrum region. 


Keywords


Nursing care, Bed sore, Pressure ulcer, Decubitus

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References


http://www.hubrussel.net/wound-ex-site/Wound/ Wound-ex-Bestanden-en-afbeeldingen/Wound-exBestanden-en-afbeeldingen-Documenten/Case-report--Pressure-sore-in- the-sacral-region-(1).pdf.

Cuddigan J, Ayello EA, Sussman C et al. Pressure ulcers in America: Prevalence, incidence, and implications for the future. An executive summary of the National Pressure Ulcer Advisory Panel. PubMed 2001:153.

Leblebici B, Turhan N, Adam M et al. Clinical and epidemiologic evaluation of pressure ulcers in patients at a university hospital in Turkey. J Wound Ostomy Continence Nurs. 2007; 34: 407-11.

Chauhan VS, Goel S, Kumar P et al. The prevalence of pressure ulcers in hospitalized patients in a university hospital in India. J Wound Care 2005; 14: 36-37.

Ueda K, Tajima S, Sano S et al. Mortality and recurrence rate after pressure ulcer operation for elderly long-term bedridden patients. J Osaka Med Coll. 1990; 49: 58-63.

Kuwahara M, Tada H, Mashiba K et al. Mortality and recurrence rate after pressure ulcer operation for elderly long-term bedridden patients. Ann Plast Surg. 2005; 54: 629-32.

https://www.slideshare.net/MohitGulati13/pressuresores-55126646. 8. National Pressure Ulcer Advisory Panel (NPUAP).

EPUAP – European Pressure Ulcer Advisory Panel.

Jogindra V, Suksham C, Walia I. Nurses’ role in the management and prevention of pressure ulcers – A study. Nursing Journal of India May 2004.

Clarke M, Phil H, Kadhom M. The nursing prevention of pressure sores in hospital and community patients. Journal of Advanced Nursing 2006; 13(3): 365-73.


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