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Discharge Instructions Treating Pressure Sores

Dressing changes

Your physician will provide you with the specifics according to your pressure sores.

  • Begin by washing your hands with antibacterial soap.
  • Clean the area(s) with recommended antibacterial cleansers several times a day.
  • Dress the sore with clean bandanges.
  • Protect skin around the wound with antibacterial cream or ointment.
  • Keep pressure off your sore. Use of chair cushions or special mattresses may be suggested. Avoid donut-shaped cushions. Change position often - every 1-2 hours in bed, and at least every hour in a chair. If you are able to shift your own weight, do so every 15 minutes while sitting.
  • Learn how to prevent new pressure sores.

Skin care

  • Clean skin as soon as it is soiled.
    • To control moisture, use absorbent pads or briefs with a quick-drying surface.
    • Protect intact skin with cream or ointment.
  • Use a moisturizer on dry skin.
  • Avoid massaging over bony points.

Nutrition

  • Good nutrition is important for healing. Protein is needed for growth and repair of body cells. Protein also helps the body fight infection.
  • Eat a balanced diet. Include 2-3 servings of high protein foods each day, such as: meat fish poultry eggs dairy products dried beans and peas tofu nuts and nut butters
  • If you cannot get enough calories and protein from food alone, drink nutritional supplements such as Ensure, Resource (regular or diabetic), or Boost. These supplement your food intake. They do not replace your meals.
  • Take vitamins as directed by your doctor. The recommended vitamins and dosage for wound healing are: Zinc - 220 mg. 3 times per day for 2 weeks; Vitamin C - 500 mg. 2 times per day; Multivitamin with Vitamin B.
  • Drink 6-8 glasses of water a day. Avoid caffeine, alcohol, and sugary drinks.
  • Your doctor should approve all nutritional and vitamin recommendations.

Signs of infection

  • Fever and/or chills
  • Increased pain at the sore that can not be explained
  • Increased redness or warmth
  • Increased or odorous drainage
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