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Pressure ulcer treatment
The challenge to manage pressure ulcers
In most cases, pressure ulcers have a significant impact on patient morbidity[1] and quality of life[2] and can even impact patient survival.[3]
Once a pressure ulcer has developed, it is important to draw up a coordinated treatment plan to promote healing.[4] The basic prerequisites for wound healing must be met and everything that interrupts this process needs to be avoided. These include pressure ease, a clean wound, circulation functioning, an adapted nutrition in terms of both calories and nutrients along with adequate hydration.[5]
*examples of barriers = slough, necrotic tissue and/or biofilm
Pressure ulcer management, a holistic approach
B. Braun offers different solutions including products for skin care, wound bed preparation and infection management, as well as exudate management. Depending on the extent of tissue damage, pressure sores can be categorized into four stages. Every stage requires a specific treatment.
Management of stage 1 pressure ulcers
Description
Goal
Skin repair Restore capillary function Protect against friction and pressure
Protect, treat and repair: daily skin hygiene and care
Management of stage 2 pressure ulcers
Description
Treatment goals
Remove blisters Prevent/remove biofilm Manage bacterial load and odor Manage exudate and promote moist healing Protect the periwound skin
Management of stage 3 pressure ulcers
Description
Treatment goals
Debride Prevent/remove biofilm Manage bacterial load and odor Manage exudate and promote moist healing Protect the periwound skin
Management of stage 4 pressure ulcers
Description
Treatment goals
Debride Protect organs Prevent/remove biofilm Manage bacterial load and odor Manage exudate and promote moist healing Protect the periwound skin
More than 4 out of 10 nursing home patients may have pressure ulcers.[6]
Clinical case presentation: pressure ulcer managment
Thorough wound assessments and sensible product selections are essential to help prevent and treat wound infections, manage exudate and finally restore skin integrity[4]. This is the clinical case presentation of Fernanda Cortes from Chile who explains step by step how she treated the stage 3 pressure ulcer of a 60-year-old family father. Closely escorted by her commitment and the combination of Prontosan®, Askina® and Linovera® the patient eventually recovered.
Please note that the pictures in the video may be disturbing to sensitive persons.
"Back to life" after four months of healing of his pressure ulcer
Pressure ulcers may develop quickly - between the first hour and 4 to 6 hours after sustained loading.[7]
Time to focus on pressure ulcer prevention
Our product portfolio
References
For more product information check also current Instructions for use (IFU).
- Graves N, Weinhold D, Tong E, Birrell F, Doidge S, Ramritu P, Halton K, Lairson D, Whitby M. Effect of healthcare-acquired infection on length of hospital stay and cost. Infect Control Hosp Epidemiol. 2007 Mar;28(3):280-92. doi: 10.1086/512642. Epub 2007 Feb 20. PMID: 17326018.
- Sebba Tosta de Souza DM, Veiga DF, Santos ID, Abla LE, Juliano Y, Ferreira LM. Health-Related Quality of Life in Elderly Patients With Pressure Ulcers in Different Care Settings. J Wound Ostomy Continence Nurs. 2015 Jul-Aug;42(4):352-9. doi: 10.1097/WON.0000000000000142. PMID: 26135820.
- Labeau SO, Afonso E, Benbenishty J, Blackwood B, Boulanger C, Brett SJ, Calvino-Gunther S, Chaboyer W, Coyer F, Deschepper M, François G, Honore PM, Jankovic R, Khanna AK, Llaurado-Serra M, Lin F, Rose L, Rubulotta F, Saager L, Williams G, Blot SI; DecubICUs Study Team; European Society of Intensive Care Medicine (ESICM) Trials Group Collaborators. Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study. Intensive Care Med. 2021 Feb;47(2):160-169. doi: 10.1007/s00134-020-06234-9. Epub 2020 Oct 9. Erratum in: Intensive Care Med. 2021 Apr;47(4):503-520. PMID: 33034686; PMCID: PMC7880913.
- Sibbald RG, Elliott JA, Persaud-Jaimangal R, Goodman L, Armstrong DG, Harley C, Coelho S, Xi N, Evans R, Mayer DO, Zhao X, Heil J, Kotru B, Delmore B, LeBlanc K, Ayello EA, Smart H, Tariq G, Alavi A, Somayaji R. Wound Bed Preparation 2021. Adv Skin Wound Care. 2021 Apr 1;34(4):183-195. doi: 10.1097/01.ASW.0000733724.87630.d6.
- Munoz N, Posthauer ME, Cereda E, Schols JMGA, Haesler E. The Role of Nutrition for Pressure Injury Prevention and Healing: The 2019 International Clinical Practice Guideline Recommendations. Adv Skin Wound Care. 2020 Mar;33(3):123-136. doi: 10.1097/01.ASW.0000653144.90739.ad. PMID: 32058438.
- Defloor T, De Bacquer D, Grypdonck MH. The effect of various combinations of turning and pressure reducing devices on the incidence of pressure ulcers. Int J Nurs Stud. 2005 Jan;42(1):37-46. doi: 10.1016/j.ijnurstu.2004.05.013. PMID: 15582638.
- Gefen A.: How much time does it take to get a pressure ulcer? Integrated evidence from human, animal, and in vitro studies. Ostomy Wound Manage. 2008 Oct;54(10):26-8, 30-5. PMID: 18927481.
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