Day-to-Day Care


General:  Prevention of Pressure Sore


Persons who use wheelchairs or those who must stay in bed due to illness or injury are subject to pressure sores/bed sores.  Pressure occur when pressure on the bony parts of the body reduces the blood supply to a particular area. Circulating blood carries nutrients to the cells and carries out waste products. When the blood supply is reduced, the cells are susceptible to damage and eventual death.  A person with conditions like diabetes and hardening of the arteries that affect blood circulation make pressure sores more difficult to heal.
Tips on Preventing Pressure Sore:


Person who is able to move around should be encouraged to do so as it helps his circulation.  But be on hand if the person needs help.

A person who is confined to bed require extra nursing care.  He must be turned frequently, approximately every two hours, to avoid prolonged pressure on any one part of the body.  Lifting and turning a person requires training and practice.   If you are caring for a bedridden person at home, you will need special training and advice.  Talk with your healthcare professionals about proper care and have a nurse show you what to do.  Please click here for a list of courses for family caregivers in Singapore.

Protect areas especially prone to friction, shearing forces, and pressure such as the heels by using a heel protector.

Use pressure relieving devices to help spread the patient's weight.  Special pillows, mattresses, mattress covers, foam wedges, seat cushions, and other equipment are available at medical equipment stores.  Please click here for a pictorial guide of some pressure relieving devices.

When lifting a person, if possible, encourage him to use his own muscle power as much as he can manage.

Lift, do not drag, or you will damage the person's skin and put pressure on a wound.

Examine the person’s body every day and look for discolored skin or other signs of sores.  The first sign of pressure sore is redness on the skin.

Keep the skin clean and dry may help prevent pressure sores and other infections.

Massage the back and other pressure areas at least once a day may also help to stimulate blood circulation.

Maintain smooth bed linens.  All lumps and wrinkles should be smoothed out of the bedding under the person.



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