Monday, November 22, 2010

How do you prevent bed sores with someone who's paralyzed?

I have an identical twin sister who was in an accident and became paralyzed from the neck down. She's completely helpless and we have to change her diapers and tube feed her and suction her lungs, etc...We're 17 and I take care of her a lot. Just recently my mother and I noticed she's getting a type of red sore on her upper thigh. Does anyone who's knowledgeable know how you would properly treat a bed sore and prevent further sores and rashes?How do you prevent bed sores with someone who's paralyzed?
First, let me say, I AM SO TERRIBLY SORRY TO READ WHAT HAPPENED TO YOUR TWIN. I have done home health care in the past and the best thing to do is reposition her as much as possible and buy as many pillows as you can. Remember, when propping legs, butt, arms, hips, thighs up with pillows it takes the weight off specific areas that cause the pressure points to turn into bed sores. You can take the weight off different parts of her legs and butt just by moving the pillows under her legs in different places. Also propping her on her sides by using pillows will help a lot.



Another thing to always remember is continue to treat your sister as though she is still the same even though she has a disability now. Wash her hair and style it for her, paint her nails, do her makeup, spray her with her favorite perfume, dress her as cute as possible. The key to keeping someone from becoming too depressed in this situation is to try to keep the focus off of them being the patient so much and more on the focus of her being your sister and friend.



I would say go to a home health care store and pick things out that will help her. Rent her favorite movies, and most importantly, be her friend. DONT LET HER DISABILITY PUT A DISTANCE BETWEEN THE TWO OF YOU. She is still your sister and even better your twin. Be there for her. Love her alotHow do you prevent bed sores with someone who's paralyzed?
Awww, I'm sorry to hear that. You should be turning her every few hours or so.. changing her position should help with this. Keep up the good work, It takes someone special to do what you're doing.
Im so sorry to hear that.My neighbor is paralyzed too and she use a little hard bed and she turns around every 3 hours.I don't know how does the hard bed work but it seems that it helps her spine and back
I know how you feel, I've done this twice before with loved ones.



Like the others said, repositioning is key. We did it every 3 hours, and that staved them off, and there is a special ';skin-gard'; skincare product (ask your home nurse or health care provider about it) which can help prevent the formation of bedsores from hotspots like the one you described. Until then, keeping it clean and away from any rubbing or friction is very important.



If bedsores do develop (which I hate to say they likely will despite constant vigilance...usually somewhere you can't immediately see) keep them clean, dry and dress them with guaze and an antibacterial ointment.



Best of luck... my prayers are with you.
I'm sorry to hear.

Get her a really soft matress or consult a doctor, they will tell you what to do.
wow im so sorry thats intense. Thats rough, and I pray the best for you.



http://www.ehow.com/how_2179273_sores-he



This gives a list of ways to prevent bed sores.

Im not an expert but rotate her like every hour or so [=

good luck and stay strong.

';when im afraid i'll trust in thee';-pslams 56:3 both you and your sister are is great hands and god is always there.
Bed sores are a frustrating problem in paralyzed persons. They are caused by the constant pressure of the skin against the bed, and pressure points over the buttocks, upper thigh, shoulders and even the occiput of the head are frequently involved.



Obviously you are turning your sister frequently. Try to keep the skin clean and dry to prevent irritation that makes pressure sores more likely. A special air mattress with many small cells is helpful. An air pump at the bedside alternately fills and releases air in the various cells so that pressure is not always on one spot. Donut cushions surrounding irritated areas help, too.



Do you have a visiting nurse or other therapist come on frequent occasions? Often your insurance will cover such a service. These persons can be very helpful in offering other suggestions.
You can get pads that are like air bubbles that change the pressure points under her body, you may also want to try lambs wool. You can put it on her (once the current sores are healed) at the spots that seem to be the problem. Also make sure she is dry as the moisture can intensify the irritation of the skin. Make sure the current sores are clean %26amp; free from infection. Usually releaveing the pressure point (where the body rubs on a surface, such as the sheets) will allow them to heal naturally, depending on how bad they have gotten. I'm not 100% sure but if memory serves me correctly satin or silk sheets are easier on the skin but also expensive %26amp; harder to clean. I think the lambs wool would be a better solution. Do you have home health care aides where you live? Around here some of the major drugstores have sections that are dedicated to caring for people at home %26amp; may be of help to you.I hope that things get easier for you (once you learn all of the tricks, it will get easier %26amp; not so overwhelming)

AB
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