Bedsore chest spots

For some friends who are bedridden for a long time, because the skin is often squeezed and the hygiene is not in place, it is very easy to get bedsores. Many patients even have spots on their chests. In fact, if you encounter bedsores, your family needs to take good care of you. Regularly helping the patient turn over, clean, and change clothes can prevent the formation of bedsores. Once bedsores occur, it will affect the patient's recovery.

An early change in the skin, erythema alba is characterized by intense changes in erythema, from pink to bright red. It turns white when pressed with fingers, and the red spots quickly reappear after the fingers are released. The red area is often accompanied by slight edema of the skin, which may be painful in patients with normal perception. After the pressure is released, the skin returns to normal within 24 hours without any sequelae. Pigmentation reflects the severity of changes in blood vessel conditions. The darker the color, the more dramatic the skin changes, which can change from black-red to bluish-purple. There is no color change when pressing with fingers, the skin temperature decreases, and the lesion may feel soft or hardened. Further deterioration of the tissue in the area of ​​pigmentation will form compressive dermatitis. The epidermis breaks down and blisters appear beneath the epidermis. Large blisters, crusting, and scaling may occur. Lack of awareness and failure to promptly address compression dermatitis can lead to the formation of true bedsores.

Early bedsores are pigmented spots or pressure dermatitis erosions, the epidermal tissue is damaged, the blisters rupture or are wiped off, exposing the dermis. Early ulcers have unclear surface boundaries, reflective bottom, and are often surrounded by non-white erythematous areas. If not treated, it can develop into a chronic bedsore. When the periphery of chronic bedsores is erythematous, it is characterized by no blanching when pressed by fingers, and the adjacent skin tissue becomes hardened, warm or becomes mottled. The average ulcer base measures 5 to 12 cm in diameter and is dark red or blackish red in color, and does not bleed easily upon touch.

The formation process of bedsores is divided into three stages: erythema stage, blister stage and ulcer stage. The ulcer stage is divided into shallow ulcers and deep ulcers. Prevention of bedsores is extremely important and is based mainly on careful care.

Symptoms of different stages:

Bed sore grade I erythema stage: The pressure points of the body show local bruising and the skin appears erythematous. If the stress is removed during this period, the changes disappear within 48 hours.

Bed sore grade II blister stage: Blisters of varying sizes appear at the pressure site, the skin becomes red and congested, and does not subside when pressed with fingers.

Bedsore Grade III shallow ulcer: The ulcer does not exceed the full layer of skin. Due to the lack of blood supply at the base of the ulcer, it is pale, has granulation edema, and keeps bleeding.

Bedsore IV grade deep ulcer: involves deep fascia and muscle. The affected tissue becomes necrotic due to ischemia and appears black. Due to cellular infection, the lesion often invades the bone, forming periostitis or osteomyelitis.

When caring for patients with limited mobility, you must be careful to help them get up and move around regularly, and massage the compressed skin. At the same time, you must also pay attention to the patient's diet, supplement more nutrition, and avoid malnutrition causing bedsores. If you have early symptoms of bedsores, you must take them seriously and seek treatment as soon as possible.