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Preventing bedsores in a bedridden person

bedsores · pressure sores · pressure ulcers · caring for a bedridden person · anti-bedsore mattress

Bedsores are skin wounds caused by long pressure when a person lies or sits without moving. It is easier to prevent them than to treat them.

When a person lies in bed or sits in a wheelchair for a long time and can barely change position alone.

⏱ Duration: ongoing: change position about every 2 hours and check the skin every day

Be sure to tell your doctor

How to prepare

  • Mattress. An anti-bedsore (pressure-relief) mattress is usually advised. Ask your doctor or nurse which one suits.
  • Schedule. Make a turning chart and mark every turn.
  • Bed. Keep the sheet smooth, without wrinkles or crumbs.
  • Supplies. Pillows and rolls under the knees and heels, and between the legs.

What to bring

  • Pillows and rolls
  • Skin wash and moisturizing cream
  • Absorbent pads
  • The turning chart

How it goes

  1. Change the person's position about every 2 hours: back, one side, the other side
  2. Place a pillow between the knees and behind the back when on the side
  3. Keep the heels off the bed, with a roll under the calves
  4. Check the skin every day on the tailbone, heels, shoulder blades, back of the head, and hips
  5. Wash the skin gently and pat dry, do not rub
  6. Change wet bedding and pads right away

What you'll feel

  • Turning may be uncomfortable for the person, so move slowly and explain
  • Early redness is easy to miss, so look carefully

Afterwards

  • Make sure the person drinks and eats enough
  • Do not massage reddened areas
  • If possible, help them move on their own
  • Tell your doctor about any new sore

Contact a doctor straight away if

  • An open sore, blister, or black patch on the skin: see a doctor
  • A wound with pus, a smell, and a fever: see a doctor urgently

Common questions

Does a rubber ring help?

It is usually not advised, since the ring itself presses on the skin. An anti-bedsore mattress and changing position are better.

Can I put iodine-type dye or alcohol on the redness?

No, alcohol dries the skin. Show the redness to a doctor or nurse.