Transcript SKIN PROBLEM

SKIN PROBLEMS
Positioning the patient
Relevant for:
1. Patient with flexion
contraction
-
There is constant
rubbing of the knee
against a bed rail
2. Patient who is
constantly sliding down
in bed or in chair or
who is dragged up in
bed instead of being
gently lifted
- large shearing forces
to the skin of the
buttocks
Sensory Level and skin care
• Stroke Patients
– Spectrum of sensory loss
– They are not aware of
the normal pressure
sensation
– Requires shifting
position on a regular and
frequent schedule
• Caregiver
– Assumes the
responsibility of
repositioning the patient
– Application of adhesive
dressing, touniquets and
straps for leg bags
*sites of strap
attachments should be
rotated periodically
Pressure relief
• Use of foam or eggcrate mattress
• Placing pillows in
between the legs
• Wheel-chair bound
patient
– Must be taught to shift
weight or elevate
himself approximately 1
minute out of every 15
minutes
WOUND MANAGEMENT
• Debridement
• Modified thirds solution
• Topical antibiotics for
abrasions and partial
thickness skin hours
• Systemic antibiotics if
with sepsis
• Povidone-iodine