Current Treatment Approaches in Pressure Ulcers

Abstract

Prevelance of pressure ulcer is reported as %8-11 among the hospitalized patients. Pressure ulcers are caused by mechanical pressure, traction and friction on the skin and underlying tissue. Old age, poor nourishment, moist skin, infection and metabolic disorders (such as diabet, renal insufficiency ) are the contrıbuting factors. Once a pressure ulcer has developed, the treatment is long and expensive. Relief of pressure and reduction of risk factors are important in the prevention and treatment. Treatment principles include assessing the severity of the wound; reducing pressure, friction, and shear forces, optimizing wound care, removing necrotic debris, correcting nutritional deficits, using support surfaces and special beds, electrotheraphy, and surgery.

Keywords

• Pressure Ulcer, Prevention, Treatment

Bası Yaralarında Güncel Tedavi Yaklaşımları

Abstract

Bası yarası, hastanede yatan hastaların %8-11'inde görülmektedir. Bu durum, cilt ve cilt altı dokudaki basınç, makaslama kuvveti ve sürtünmenin etkisiyle oluşmaktadır. İleri yaş, beslenme bozuklukları, nemli deri, enfeksiyon ve metabolik hastalıklar (örn; diyabet, böbrek yetmezliği) bası yarası oluşumunu kolaylaştıran diğer faktörlerdir. Bası yarası bir kez geliştikten sonra tedavisi uzun ve maliyetlidir. Önleme ve tedavi açısından basıncı azaltma ve risk faktörlerinin giderilmesi çok önemlidir. Yaranın şiddetine göre uygulanabilecek tedavi yöntemleri; basınç, friksiyon ve makaslama kuvvetinin giderilmesi, yara bakımı, nekrotik doku debridmanı, beslenmenin düzenlenmesi, destek yüzeylerin ve özel yatakların kullanılması, elektroterapi ve cerrahi tedavilerdir

Keywords

• Bası yarası, Önleme, Tedavi

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