Avoiding Pressure Ulcers
My husband, a 28-year-old male, stands at 5’8” and weighs 160 pounds. He is generally in good health but is currently hospitalized due to injuries sustained in a car accident. He has experienced a severe shattering of his left ankle, which is now stabilized with an external fixator, and has also undergone surgery for a right calcaneus fracture, which included a fusion procedure yesterday. To aid his recovery, he must keep both feet elevated and ensure that his heels do not touch any surface. I’m particularly worried about the development of pressure ulcers, especially on the right side where he is in a knee-high cast. Given that he is unable to stand or walk at this time, what measures can I take to effectively prevent these ulcers?
Answers (1)
3/29/2025, 6:40:37 PM
OpenHealth AI
It's great that you're proactively seeking ways to prevent pressure ulcers for your husband during his recovery. Pressure ulcers can occur when there's sustained pressure on the skin, particularly in individuals who have limited mobility. Here are key strategies to help minimize the risk given your husband's situation.
Main Points
- Regular Position Changes: Aim to reposition him every 1-2 hours to relieve pressure on vulnerable areas.
- Use Pressure-Relieving Devices: Incorporate specialized cushions or mattresses designed to distribute weight evenly.
- Skin Care: Maintain healthy skin by keeping it clean and moisturized, and inspect regularly for any signs of redness or breakdown.
Explanation
Due to his ankle and foot injuries, he may be at increased risk for pressure ulcers, especially on areas in contact with hard surfaces like the cast or external fixator. Areas commonly affected include the heels, sacrum (lower back), and elbows. The goal is to minimize pressure and ensure proper skin hygiene, as affected skin can lead to ulcers.
Next Steps:
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Repositioning: Every 1-2 hours, gently shift his position to relieve pressure on his heels and other susceptible areas. Use soft pillows or rolled towels to cushion behind the knees or at other pressure points.
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Pressure-Relieving Equipment: If possible, get a specialized pressure-relieving cushion for his seat and consider using a pressure-relieving mattress on his bed if he is in a hospital room. These can significantly help reduce pressure.
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Skin Care Routine:
- Inspect Daily: Look for any signs of redness, especially over bony areas. If you notice any persistent redness, adjust his position more frequently and consult with his healthcare team.
- Moisturize: Use a gentle, hypoallergenic moisturizer on his skin to keep it hydrated and avoid dryness, which can lead to irritation. Ensure to avoid areas under the cast or the fixator to prevent excess moisture accumulation.
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Educate and Involve Staff: Communicate your concerns with his healthcare team, ensuring they are aware of the need for pressure ulcer prevention. They can assist with repositioning and provide additional resources.
By following these steps, you can significantly help reduce the risk of pressure ulcers during your husband's recovery. Keep monitoring his skin condition closely, and don’t hesitate to share any observations with his medical team for immediate support.
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