Bed Sores Prevention

Prevention

Most pressure ulcers can be prevented. Suggestions include:

• Repositioning
  • Change position in bed at least every 2 hours or, in a wheelchair, at least hourly. If able to move yourself, shift position every 15 minutes.
  • Maintain good body alignment.
  • To prevent sliding, do not elevate the head of the bed greater than 30°. Discuss the bed elevation with your doctor in case this is contraindicated because of risk of difficulty breathing, choking, or aspiration.
  • Find a sitting or lying position that is 30° toward one side or the other, but not squarely on the hip.
  • Place a pillow under calves to keep the heels off the mattress.
  • Place a pillow between the knees.
  • Do not use donut-ring cushions, which can cut off circulation.
• Use a special bed mattress or wheelchair cushion.
• Wear special pads to protect skin that is resting against braces and other devices.
• When moving someone, lift rather than drag.
  • Use assistive devices, such as transfer boards and mechanical lifts.
  • Try placing a sheepskin under a body part to decrease friction.
• Keep the skin clean and dry.
• Do not massage bony areas.
• If incontinent, use a protective cream on skin that may come in contact with urine or stool. Frequently check the patient, and do not let feces or urine remain for extended periods of time
• Check the skin at least daily for signs of pressure problems.
• Keep sheets clean and free of wrinkles
• Maintain good nutrition.