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Undergone surgery for brain stroke. Has not regained conciousness, developed bedsore. Advise?

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hi sir, my dad suffered brain strock on feb 9th mor, and made up of operation at the same day nit 10pm,still he's in unconcious and bedsore problem.Bedsore not heal right now and affected kidney function.
uploaded report in pdf formate. To percentage of recovery by possible, how long he will recover? pleas suggest solution for bedsore recover, Dr's said, he'll recover only from bedsore.
Posted Sat, 27 Apr 2013 in Stroke
Answered by Dr. Michelle Gibson James 1 hour later
Hi, thanks for using healthcare magic

Bed sores can lead to serious problems if not treated.
They are caused by 3 main factors: (1) the pressure of the body's weight pressing on the skin
(2)shearing- this is layers of skin sliding over each other, this can occur sometimes when pulling from one position to the next
(3) friction- rubbing of the skin

Treatment involves the following:(1) proper nutrition- he will not heal if he is in a poor nutritional state. Since he is unconscious this may mean that a nutritionist may need to get involved to write up a chart for him to receive adequate nutrition by iv. It is very important

(2) He needs to be turned frequently ( at least every 2 hrs) and the persons responsible need to avoid placing him in positions where bones may be particularly prominent because this would lead to more ulcers or worsening of the present one.

(3) In small or superficial bed sores the use of a foam mattress is sufficient. If the bed sore is deep then he would need a alternating pressure mattress. If you speak to his doctors or the occupational therapy department, they would know the best place to obtain these in your area. These would reduce the pressure on his skin.

(4)If there is any area of dead skin in the bed sore it needs to be removed by the doctor because it would prevent the rest of it from healing

(5) Antibiotics are necessary if it appears to be infected

(6) it should be cleaned with sterile water or saline, the frequency would depend on whether it is infected

(7) dressings would need to be applied. Simple gauze should be avoided because when it is removed, it may cause damage. There are other types of dressings that are now recommended for bed sores, these include hydrocolloids, hydrogels, alginates and foams. These can be applied to the area, your doctor can determine which one is appropriate based on the stage of the bed sore.

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by
Follow-up: Undergone surgery for brain stroke. Has not regained conciousness, developed bedsore. Advise? 24 hours later
Please can you suggest a solution for recovery from unconscious-(RIGHT ACUTE MCA INFARCT-patient)
Answered by Dr. Michelle Gibson James 1 hour later

Unfortunately I would not be able to help with this aspect.

The recovery from a coma after a stroke, it depends on many factors one of which is the extent of damage to the brain and the findings on physical examination.

The length of the coma does not necessarily correlate with the likelihood of recovery so even persons in comas for a long time may recover.

His doctors may conduct intermittent tests to assess his brain waves to determine the likelihood of recovery.

Please feel free to ask any other questions
Above answer was peer-reviewed by
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