Pressure sores or wounds press is a localized tissue damage caused by the compression of soft tissue over the bone protruding (bony Prominence) and the pressure from the outside in a long time. Compression network will cause interference with the blood supply to the depressed area. If this persists, it can lead to insufficiency of blood flow, anoxia or ischemic tissue and may eventually lead to cell death.
Intrinsic factors: aging (weak cell regeneration), number of diseases that cause such as diabetes, nutritional status, underweight or overweight opposite, Anemia, Hypoalbuminemia, neurological diseases and diseases that damage the blood vessels, state of hydration / body fluids.
Extrinsic Factors: Hygiene bed, weaving tools matted and dirty, or medical equipment that causes sufferers fixed to a certain attitude, a poor Sitting, improper position, change positions less.
Signs and Symptoms
Stage One
The change of the skin that can be observed. When compared with normal skin, then it would seem one of the following signs: changes in skin temperature (colder or warmer)
Changes in tissue consistency (hard or soft more)
Changes in sensation (itching or pain)
In people who were white, red sores may appear as persistent. While in the dark, the wound will appear as persistent red, blue or purple.
Stage Two
Partial loss of skin layers are the epidermis or dermis, or both. Character is a superficial wound, abrasion, blister, or forming a shallow hole.
Stage Three
Complete loss of skin layers, including damage or necrosis of subcutaneous tissue or deeper, but not to the fascia.
Stage Four
The loss of skin layers complete with extensive damage, tissue necrosis, damage to muscle, bone or tendon. There is a deep hole and sinus tract was also included in stage IV of the injuries hit.
Risk Factors
- Mobility and activities
- Decrease in sensory perception
- Humidity
- Tearing energy (shear)
- Friction (friction)
- Nutrition
- Age
- Arteriolar pressure low
- Emotional Stress
- Smoke
- Skin temperature.