The best treatment outcomes will result from using a multidisciplinary team of specialists, this will ensure all problems are addressed. There are seven major contributors to healing.
The most important care for a patient with bedsores is the relief of pressure. Once a bedsore is found, pressure should immediately be lifted from the area and the patient turned at least every two hours to avoid aggravating the wound.
Pressure-distributive mattresses are used to reduce high values of pressure on prominent or bony areas of the body.
Certain vitamins and supplements such as Vitamin C have been shown to reduce the risk of pressure ulcers
. People with higher intakes of Vitamin C have a lower frequency of bed sores in bed-ridden patients than those with lower intakes.
The removal of necrotic tissue is an absolute must in the treatment of pressure sores
. Because dead tissue is an ideal area for bacterial growth
For control of infection, it is imperative to apply antiseptics at once. Hydrogen peroxide
is not recommended for this task as it is difficult to balance the toxicity of the wound with this. New dressings have been developed that have cadexomer iodine and silver in them, and they are used to treat bad infections.
If the patient is found to be at risk for malnutrition
, it is imperative to begin nutritional intervention with dietary supplements and nutrients including vitamin A, vitamin B complex, vitamin E, vitamin C, magnesium, manganese, selenium and zinc. It is very important that intake of these vitamins and minerals
be overseen by a physician, as many of them can be detrimental in incorrect dosages.
Systemic antibiotics are not recommended in treating infection of a bedsore, as it can lead to bacterial resistance. They are only recommended if there is evidence of advancing cellulitis, osteomyelitis
, or bacteremia.