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Is there anything I can do to keep sores from breaking out on dad who is in hospital. He is diabetic.? |
He has a stage 4 bedsore, suffered a stroke and dr's say there is nothing else that can be done. I refuse to accept this answer. They are letting him just lie there and die. He is fully alert. How can I convince them there are other things they could do when I dont even know myself. There may be no medical treatment which will help but he's entitled to basic nursing care to keep him comfortable. He should be moved every hour, his vulnerable points (elbows. heels, buttocks) should be protected with sheepskin pads. If he is incontinent he should be catherised to save more damage to the skin. He should be getting adequate food and fluids and medication for his diabetic control. If he is in pain he should be getting painkillers as needed to keep him comfortable. He is entitled to his dignity as a person! I have seen patients get into an awful state becuse of bad nursing (not on MY ward though!!!!) and have seen them overlooked as "hopeless". I am passionate that everyone, no matter what their outlook needs love and care. If his present hospital is not providing all the care above, get him moved and make an official complaint! Stage 4 bedsore? Never heard of it called that. They aren't moving him enough if he has bedsores. I'd get him to another facility. They will have to do surgery on the one he has to clear away the dead tissue before it spreads. And it will spread fast. There is nothing worse than the smell of necrotising flesh. This is very serious and can produce a life threatening infection, especially if not aggressively treated. All of the goals of protecting, cleaning and alleviation of pressure on the area still apply. Nutrition and hydration is now critical. Without adequate nutrition, this wound will not heal. Find a hospital and a doctor who will make sure he gets moved enough to keeps the bed sores to a minimum. Sounds like a bad place to be. I am no doctor. But my dad was in hospital for a long time and my sister is a nurse. She used to get him to move and lie on a different side (if possible) so the pressure sores didn't happen. Also there is a special bed you can get. Its one that lifts up at the top middle and bottom, and cost a lot of money, the hospital where my dad was used these. Its a bit late now to say massage because he already has sores doesn't he? Good Luck. He needs to be repositioned every 2 hours, comfortable but allow the blood to circulate. And speak to the stroke association, my mum had a stroke 18 months ago, she is coming on so well now I have visited family in hospital who have been on special foam matteresses to minimilse bed sores, I know some paraplegics have special matteresses too. yes complain,your dad is not getting turned often einogh Bedsores are extremely difficult to get rid of when a person is immobilized and confined to bed. The problem is even worse for diabetics. He is not being turned often enough! You should complain but it probably won't change anything. Need to get air to the sore bits I think and it is probably down to family to do that. As far as bed sores, they can try preventing them by changing your Dad's position every 2-3 hours. Using pillows between his legs and under his back at times can help to relieve pressure. Massage can help as well. Don't let them get away with not changing his position. It's standard nursing care to prevent bedsores. You can buy for him,at a medical supply company. tell the hospital the treatment that your father is receiving is just not acceptable and surmises to neglect all i can say is to keep him of the area turn him every 2hrs. to keep pressure of of the area, perhaps a wound vac. he should be on air matress and recieving pressure relief every four hours.should be assessd by a tissue viability nurse to put down in nursing notes the care needed to help heal pressure sore. |
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