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Bedsores are common in people in hospitals and nursing homes and in people being cared for at home.
In people confined to bed, bedsores are most common over the hip, spine, lower back, tailbone, shoulder blades, elbows and heels.
Although pressure on the skin is the main cause of bedsores, other factors often contribute to the problem. Shearing and friction — Shearing and friction causes skin to stretch and blood vessels to kink, which can impair blood circulation in the skin. Moisture — Wetness from perspiration, urine or feces makes skin under pressure more likely to suffer injury. Decreased movement — Bedsores are common in people who can't lift themselves off the bed sheets or roll from side to side. Decreased sensation — Bedsores are common in people who have nerve problems that decrease their ability to feel pain or discomfort. Circulatory problems — People with atherosclerosis, circulatory problems from long-term diabetes or localized swelling (edema) may be more likely to develop bedsores. Poor nutrition —Bedsores are more likely to develop in people who don't get enough protein, vitamins and minerals. Age — Elderly people, especially those over 85, are more likely to develop bedsores because skin usually becomes more fragile with age. Stage I (earliest signs of skin damage) — White people or people with pale skin develop a lasting patch of red skin that does not turn white when you press it with your finger. Stage II — The injured skin blisters or develops an open sore or abrasion that does not extend through the full thickness of the skin.
Because broken skin can allow bacteria to enter, bedsores are extremely vulnerable to infection. If a person with bedsores develops an infection, a doctor may order tests to find out if the infection has moved into the soft tissues, into bones, into the bloodstream or to another site. If you care for a family member who is in a bed or wheelchair, your doctor or home care nurse can teach you how to identify the earliest signs of bedsores. Many factors influence how long a bedsore lasts, including the severity of the sore and the type of treatment, as well as the person's age, overall health, nutrition and ability to move. Bedsores can still form even if a patient is receiving excellent medical care or household care — they are not necessarily a sign of neglected needs. Relieve pressure on vulnerable areas — Change the person's position frequently, when possible every two hours when in bed and every hour when sitting in a chair. Inspect the person's skin at least once each day — Early detection can prevent stage I redness from becoming worse. Minimize irritation from chemicals — Avoid irritating antiseptics, hydrogen peroxide, povidone iodine solution or other harsh chemicals to clean or disinfect the skin. Encourage the person to eat well — The diet should include enough calories, protein, vitamins and minerals. If you care for someone with bedsores, your doctor or home care nurse may ask you to help with the treatment by following preventive steps that should stop further damage to vulnerable skin and increase the chances of healing. Additional treatments, usually done by health care professionals, depend on the stage of the bedsore.
If the person's skin shows any signs of possible infection, the doctor may prescribe antibiotics, which may be applied as an ointment, taken as a pill or given intravenously (into a vein).
If you find a suspicious area of redness or blistering on a person you are caring for, contact the person's nurse or doctor promptly. Disclaimer: This content should not be considered complete and should not be used in place of a call or visit to a health professional. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Scratching certain types of rashes may cause them to spread to other parts of the body or even to other people. Many common skin rashes have similar characteristics, so it can be hard to tell them apart without a picture, but there are ways to narrow things down.
Seeing that a rash has spread all over the body can be helpful too, since some are characterized by how fast they spread or the patterns in which they spread.
For the past three or four months, I've had a minor rash on my chest, moving to my shoulders and partway down my back. To provide even greater transparency and choice, we are working on a number of other cookie-related enhancements.
File under medical illustrations showing Sacral Ulcer, with emphasis on the terms related to medical pressure ulcer bed sore decubitus sacral buttocks defect necrotic tissue. All materials on this site are strictly copyrighted and may not be used without permission from the copyright holder.
The National Pressure Ulcer Advisory Panel (NPUAP) serves as the authoritative voice for improved patient outcomes in pressure ulcer prevention and treatment through public policy, education and research.
Excoriated skin means the loss of a superficial layer of skin as a result of shearing or scratching. Decubitus ulcer wounds are skin breakdown that are sometimes referred to bedsores or pressure sores. If you or a loved one have the unfortunate experience of acquiring a decubitus ulcer in a nursing home or hospital, do not let the neglect go unpunished. Bedsores form where the weight of the person's body presses the skin against the firm surface of the bed. In people who use a wheelchair, bedsores tend to occur on the buttocks and bottoms of the feet. Normally, our skin is protected from being injured by pressure because we move frequently, even when asleep. If this red patch is not protected from additional pressure, the redness can form blisters or open sores (ulcers). In a person confined to bed, shearing and friction occurs each time a person slides across the bed sheets. People who can't control their bladders or bowels (people who are incontinent) are at high risk of developing bedsores. Without these small movements throughout the day, skin that is pressing against the bed does not get a steady supply of oxygen and nutrients. Without these feelings, the person cannot feel the effects of prolonged pressure on the skin. This is because the blood flow in their skin is weak, even before pressure is applied to the skin. In people with darker skin, the patch may be red, purple or blue and may be more difficult to detect.


There may be a surrounding area of red or purple discoloration, mild swelling and some oozing.
Tests may include blood tests, a laboratory examination of tissue or secretions from the bedsore, and an x-ray, a magnetic resonance imaging scan (MRI scan) or a bone scan to look for evidence of a bone infection called osteomyelitis. For example, there is a good chance that a Stage II bedsore will heal within one to six weeks in a relatively healthy older person who eats well and is able to move. Either lift the person or have the person use an overhead trapeze to briefly raise his or her body.
First, areas of unbroken skin near the bedsore are covered with a protective film or a lubricant to protect them from injury. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment.
The first thing you should consider is the location of the rash, since many tend to show up in specific areas.
For instance, it might only happen after you eat certain foods or take certain medications, or it might happen after you go swimming. Many rashes usually only happen in specific parts of the body, like rosacea or athlete's foot.
For instance, eczema tends to happen on the insides of the elbows or the backs of the knees. This can be because of an allergen, like the oil from a poison ivy plant, or because of a virus, as in the case of chicken pox. Skin rashes can be flat, rounded, have raised edges, have blisters or welts, or have thick, hard plaques. Why don't you try taking cold showers and instead of wiping your arm dry, allow it to air dry?
Infection, allergies and extreme temperatures are often behind the skin conditions seen in babies and children and many are minor and easily treated. It is intended for general information purposes only and does not address individual circumstances.
This medical image is intended for use in medical malpractice and personal injury litigation concerning Sacral Ulcer.
In order to prevent future excoriation, or to heal existing excoriation, nurses should use special sheets when transferring the patient. Because this area of excoriated skin is already impaired, it is that much more vulnerable to further skin breakdown. Unless the pressure is relieved and blood flows to the skin again, the skin soon begins to show signs of injury. In severe cases, damage may extend through the skin and create a deep crater that exposes muscle or bone. When you find signs of skin damage, you can take steps to prevent areas of redness from becoming full-blown ulcers.
Relieve pressure on the back with an egg-crate foam mattress, a water mattress or a sheepskin.
If the person is incontinent, ask your doctor about ways to control or limit the leakage of urine or feces. Next, special dressings are applied to the injured area to promote healing or to help remove small areas of dead tissue.
If conservative methods fail to heal a stage III or stage IV bedsore, reconstructive surgery often can repair the damaged area. Other things you should consider are how the area feels — for instance, if it is itchy, scaly, or numb — and what the rash looks like.
The more specific information you have about a rash, the easier it usually is to identify it.
Others happen in specific patterns, like pityriasis rosea, which is sometimes called the "Christmas tree rash," since it tends to happen on people's backs in a Christmas tree shape.
You should also note what parts of your body aren't affected by the rash, since that could mean that something stopped it from spreading there.
It's important not to scratch, since this can often spread the rash around the body or to other people. Flat skin rashes often come with some inflammation, but not blisters or welts; intertrigo is a good example of this.
If a rash mostly consists of redness and inflammation, it could be cellulitis, intertrigo, or athlete's foot, depending on the location.
I was hiking and swimming in some hot springs but I don't think it's swimmers itch because it appeared two days after I came back home.
I use Dovobet daily on my anus area and while it appears to contain the rash it does not clear it. You can learn to recognise some of the most common conditions, but remember, always seek medical advice for a correct diagnosis and treatment.
It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Additionally, nurses should ensure the excoriated skin is lubricated with specialized skin creams.
Essentially, decubitus ulcers start if a patient is left in bed and not repositioned every 2 hours. If a patent is neglected and left with unrelieved pressure on the impaired excoriated skin area, inevitably, the skin will breakdown into a full blown decubitus ulcer.
Demand justice and contact a decubitus ulcer lawyer to investigate your potential decubitus ulcer lawsuit. Two types of beds — air-fluidized beds and low-air-loss beds — have been shown to reduce the likelihood that a pressure ulcer will form. If necessary, larger areas of dead tissue may be trimmed away surgically or dissolved with a special medication. It's also important to note the color of the rash or the color of any discharge, since this can differ between rashes. Though considering these characteristics can be helpful in identifying skin problems, you should consult with a doctor about any rash that comes on quickly, lasts for more than a few days, or is very itchy or painful. People often see this with contact dermatitis, that often only happens on exposed skin, or with swimmer's itch, which only happens on the parts of the skin that are directly in the water, not those that are covered by a swimsuit or bathing cap.
When trying to tell the difference between itchy rashes, you should consider the location as well as any other feelings that you get from the area, like a burning sensation or dry skin.
Never ignore professional medical advice in seeking treatment because of something you have read on the BootsWebMD Site.
If the excoriation problem is caught early enough, it can typically be contained and headed through proper care.


A decubitus ulcer is a much more serious health risk as it serves as an open portal for lethal infections. Bedsores can be an ongoing problem in chronically ill people who have multiple risk factors, such as incontinence, the inability to move and circulatory problems. For instance, bacterial or fungal rashes tend to show up on places on the body that are wet and warm, like the groin or armpit.
Rashes like eczema and psoriasis tend to be itchy with dry skin, while hives or miliaria can be itchy and painful. Sometimes a rash might have bumps instead of blisters, which are raised but not filled with fluid. You should also note the color of any liquid or discharge; many have blisters filled with clear fluid, but impetigo blisters are filled with yellow fluid, molluscum contagiosum bumps can be filled with a white, cheesy substance, and rosacea can have pimples filled with pus.
Instead, this skin infection is caused by a fungus living off dead skin, hair and nail tissue. Decubitus ulcers can also form as a result of malnutrition, dehydration, diabetes, elderly age and impaired bed mobility. If you or a family member have an already existing excoriated skin area, make sure that the patient is being repositioned every 2 hours to prevent the excoriation from opening up into a full blown pressure sore. A lack of feeling can also be an identifying sign — for instance, shingles is often burning or painful, but it can cause numbness, and a molluscum contagiosum rash is painless. If the rash is caused by a fungus and has a specific shape it often has raised edges, like ringworm. Starting as a red, scaly patch or bump, it develops into itchy red ring(s) with raised, blistery or scaly borders.
If you are involved in litigation regarding Sacral Ulcer, then ask your attorney to use medical diagrams like these in your case. However, unrelieved pressure (failing to turn and reposition the patient) is the primary cause of hospital or nursing home pressure sores.
Ringworm is passed on by skin-to-skin contact with a person or animal and by sharing items like towels or sports equipment. If you are an attorney searching for images of Sacral Ulcer, then contact Amicus Visual Solutions to see how we can help you obtain the financial compensation that your client deserves. Speak with a decubitus ulcer lawyer to obtain relevant legal advice specific to your potential case. Slapped cheek syndrome (fifth disease)A contagious and usually mild illness that passes in a couple of weeks, fifth disease starts with flu-like symptoms, followed by a face and body rash. The hiring of a lawyer is an important decision that should not be based solely upon advertisements. Treatment includes rest, fluids and painkillers (do not use aspirin in children under 16), but look out for signs of more serious illness. ChickenpoxChickenpox is very contagious, spreading easily, leaving an itchy rash and red spots or blisters all over the body. It isn't usually serious in healthy children and once you've had it, you're unlikely to get it again. Most children only need treatment at home, including rest and medication to reduce itching, fever and other flu-like symptoms. A chickenpox vaccine is licensed in the UK, but not included in routine NHS childhood vaccinations.
ImpetigoA contagious infection, impetigo causes red sores or blisters that can break open, ooze, and develop a yellow-brown crust. Impetigo can be spread to others through close contact or by sharing items like towels and toys. Antibiotic cream or ointment usually cures it, but sometimes oral antibiotics may be needed.
WartsSkin growths caused by contact with the contagious human papillomavirus, warts can spread from person-to-person or via contact with an object used by a person with the virus. Prevent the spread of warts by not picking them, covering them with bandages, and keeping them dry. Prickly heat rashThe result of blocked sweat ducts, heat rash looks like small red or pink pimples. Appearing over an infant's head, neck, chest and shoulders, the rash is often caused when well-meaning parents dress a baby too warmly, but it can happen to any infant in very hot weather. A baby should be dressed as lightly as an adult who is resting; though their feet and hands may feel cool to the touch, this is usually not a problem. Contact dermatitisContact dermatitis is a reaction caused by touching a substance, such as food, soap, or the oil of certain poisonous plants.
Minor cases may cause mild skin redness or a rash of small red bumps, while severe reactions can cause swelling, redness and larger blisters. Poison ivy is not found in the UK, but make sure you keep children away from it while on holiday in countries like the US.
Hand-foot-mouth disease (coxsackie)This common, contagious childhood illness starts with a raised temperature, then painful mouth sores and a non-itchy rash, with blisters on hands, feet and sometimes the buttocks and the legs, following. It is also present in the stools of an infected person and can remain there for up to four weeks after symptoms have cleared, so frequent hand-washing is important to prevent spread of the infection.
Home treatment includes ibuprofen or paracetamol (do not give aspirin to children under 16) and lots of fluids. EczemaA chronic problem causing dry skin, intense itching and a raised rash, some children outgrow eczema, or have milder cases as they get older. What causes eczema isn't clear, but those affected may have a personal history of allergies and asthma and a sensitive immune system. Medication, foods like eggs, nuts and shellfish, food additives, temperature extremes and infections like a sore throat can cause the rash.
After one to two days, a red rash with a sandpaper texture appears and after seven to fourteen days, the rash fades away. Roseola (Roseola infantum)A mild, contagious illness, roseola is most common in children aged six months to two years and is rare after the age of four. The symptoms are respiratory illness, followed by a high fever (which can trigger seizures) for around 3 to 4 days. Fevers abruptly end and are followed by a rash of small, pink, flat or slightly raised bumps on the trunk, then the extremities. The fever can be managed with paracetamol or ibuprofen (do not use aspirin in children under 16).



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