L89.0-3/L89.9
DESCRIPTION
Localised damage to the skin and underlying tissue that usually occurs over bony prominences as a result of pressure, or pressure in combination with sheer and/or friction. The most common sites are the skin overlying the sacrum, coccyx, heels or the hips but other sites can be affected.
Pressure ulcers most commonly develop in individuals who are immobile, such as being bedridden or confined to a wheelchair.
Other factors increasing the risk of pressure ulcer development are:
- Skin wetness e.g. incontinence.
- Reduced blood flow e.g. arteriosclerosis.
- Reduced skin sensation e.g. paralysis or neuropathy.
GENERAL MEASURES
Skin care
The skin should be kept clean and dry. Ensure that the skin folds are dried thoroughly.
Wound odour
Regular cleansing, debridement and management of infection.
Activated charcoal dressings may be used.
Pressure redistribution
- Repositioning and turning at regular intervals, every 2-4 hours. For individual receiving palliative care they should be repositioned in accordance with the Individual’s wishes, comfort and tolerance.
- If erythema is present avoid positioning the individual on the area.
MEDICINE TREATMENT
Cleanse the skin prior to application of a barrier product.
- Zinc and castor oil, topical ointment.
For pain:
See Pain