Common Risk Factors
Pressure sores are becoming more common in hospitals
and nursing homes in the U.S. The contributing factors are multiple
1. Reduced mobility is the most important element
in the development of bed sores
2. Incontinence of urine and feces can contribute
to pressure sores because they cause skin irritation and damage.
Then, the required frequent washing causes irritation and soreness
causing further skin breakdown.
3. Medications, such as sedatives and analgesics
dcontribute to non-responsiveness, inactivity, lethargy and immobility
4. Circulitory disease, cigarette smoking, etc.,
are strong predisposing factors.
5. Old Age is another high risk factor for pressure
In addition to the above 'risk factors', I consider
the following to present even greater risks to elders: (1) understaffing
(2) no training or supervision of staff. (3) failure to change wet
clothing quickly, (4) failure to adhere to a repositioning program.
A risk assessment for bed sores should be done by
using measurement tool. The most commonly used is the Braden Scale.
The Braden Scale scores a patient's level of risk for developing
Proper skin care is essential and must be implemented
by using a mild cleansing agent followed by thoroughly rinsing the
skin with water.
With today's critical nursing shortage, it is no
surprise that there would be an increase in hospital-induced pressure
sores given the complexity of this issue.
Pressure sores are increasingly common in hospitalized
patients in the United States with a 63% increase from 1993 to 2003.
If you feel that you or your loved one has been
injured as a result of nursing
home neglect such as bed sores please call 1-617-479-4300
or use our free case evaluation form below: