Discharge Instructions Treating Pressure Sores | Plastic Surgery | Dartmouth-Hitchcock
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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 ____________________
    ___ times a day.
  • Dress the sore with ______________________
    ___ times a day.
  • Protect skin around the wound with cream or ointment such as ___________________
  • 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 such as ________________________
    • 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 _____ times a day. 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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