Anesthesia and Reanimation

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It is the maintenance and treatment of tissue deformities that occur in different parts of the body that are difficult to heal or not. Acute Wound: These are wounds that occur due to reasons such as cuts, scrapes and burns and are expected to heal within 3-4 weeks. Chronic Wound: They are permanent wounds that have not healed for 6-8 weeks and are caused by conditions such as bed dependence, vascular insufficiency, diabetes.
  How Do Chronic Wounds Occur?
• As a result of a chronic illness - heart failure, kidney failure, etc.
• Severe malnutrition result,
• As a result of advanced diabetes affecting the vascular and nervous system,
• As a result of circulatory disorders
• As a result of exposure to pressure after prolonged hospitalizations and wheelchair use
• It occurs as a result of impaired tissue healing and blood supply after radiotherapy.
 What Are the Types of Chronic Wounds?
The most common types of chronic wounds are bedsores, pressure sores, diabetic foot and varicose wounds.
What is Pressure Sore?
In people who are dependent on a bed or a wheelchair, there is pressure on soft tissues due to the pressure created by body weight. The circulation of these tissues, which are squeezed between the bone spurs and the bed, is disrupted and eventually the tissues are damaged. When this damage reaches a certain level, a pressure sore or as it is called in medicine, a decubitus or decubitus ulcer occurs. Advanced age, malnutrition, insufficient fluid intake, obesity, high blood pressure, diabetic sensory loss, and urinary incontinence are risk factors for the formation of pressure sores. Excessive friction and tightness of the skin, high body temperature and leaving the skin wet facilitate the formation of wounds.
 When Does Pressure Sore Occur?
Sitting (on the coccyx, shoulder on shoulder blades, buttocks, elbows, heel) Lying on your back (on the back of the head, on the shoulder blades, on the hip, elbows, coccyx, heel, toes) Lying on the shoulder (on the ears It can occur when lying on your face (face, shoulder, pelvis, knee, protrusions of the wrists) on the side of the shoulder, lateral areas of the pelvis, hips, knees, ankles.
How to Prevent Pressure Sores?
Factors related to the patient, such as lack of movement and immobility, inadequate and unbalanced nutrition, urinary or fecal incontinence, and insufficient fluid intake, should be controlled under the supervision of a doctor. The control of the pressure that the skin is exposed to due to the sitting or lying situation, the management of the room and body temperature, the humidity of the skin and the correct lying and sitting position should be shown specifically for the patient's care, and professional support should be obtained before more serious complications occur.
Treatment of Pressure Sore According to Stages:
Stage 1: It is recommended that the person's bed or, if he / she is using a wheelchair, the wheelchair cushion is replaced with a mattress or cushion with pressure-reducing and pressure-spreading properties. Likewise, an air bed can be placed on the patient bed, which constantly circulates the air. Paying attention to the patient's hospitalization position and changing positions every 2 hours during the day, providing body hygiene, reducing humidity and improving the patient's diet are also other issues that should be considered.
Stage 2: Careful evaluation of the wound is very important because in many bedsores, the wound may appear to be on the surface, but may have spread to the deep tissues, in other words, to the third stage. In this phase, just like in the 1st phase, the pressure causing the wound should be removed. However, the wound should be protected from infection and regular dressing should be done.
3 Stage: In this stage, the infection in the wound bed is firstly terminated. Antibiotic use, cleaning of the dead tissue around the wound and regular dressing with the right materials are required.
Surgery may often be required, as the wound will take a long time to close and heal spontaneously. At this stage, it is very critical for the patient to follow a protein and energy-rich diet.
Stage 4: The treatment of the wound is as in the 3rd stage, but since the bone tissue is also affected, more extensive applications may be required for surgical removal of damaged and infected tissues and wound cleaning. Pressure Sore Nursing Care: We use internationally accepted scales and detection and treatment possibilities in pressure ulcer care and treatment. The changes and visual evidence that occur according to these scales during the treatment process are systematically reported, and the person and their family are included in the process. Today, a wide variety of dressing materials and dressings are available, while our team chooses the most ideal product for care and treatment, they also prefer economical solutions from the current product range. We will be pleased to advise you on wound care and treatment services we can offer at your home