Bedridden patient 

Disease Trauma Ageing

Nursing care for the bed ridden 

Personal hygiene (

Mouth care, Eye care, Bed bath, Back

care, Head bath, Perineal care 


Nutrition Mobility Communication Treatment Education & empowerment Regular follow up

Personal Hygiene Bath Nail care Care of eye,ear,nose Hair care Oral care Perineal care Skin care

Nutrition Assistance for feeding Assessment& management of problems in feeding Dealing of misconceptions Utilisation of locally available food

Mobility Motivate movement Simple exercises Encourage activities

Pressure sore: Definition
Pressure sores are localised tissue death and is the result of impairment of vascular & lymphatic system of the skin and tissues caused by compression , tension or shear


Pressure for a long time Collapse of blood vessels Nutrition ,Oxygen & tissue perfusion Tissue ischaemia & hypoxia & cell death Stress Breakdown of skin     

Intrinsic  Age  Neurological disease  Vascular disease  Nutritional status Extrinsic  Pressure  Shear  Friction  Moisture  Immobility  Pathogenic organisms

High Risk Groups
Bed ridden (old age, pain, sedated, ascitis, oedema, coma, Depression, agitated,dementia,fracture, paralysed )  Obese , very thin and emaciated  Diabetic pts  Incontinence-Bowel & Bladder  Excessive sweat or exudates  Hyperpyrexia  Malnourished 

Preventive Measures 


Maintenance of skin integrity Daily examination of skin integrity / pressure points Pressure relief techniques Promote pt movement Improve nutrition & hydration Education of pt & family Minimise extrinsic factors

Common sites
Depending on common position of patient

Supine (occiput, elbows, saccral region,
heels,scapula )

Side lying (ear, acromion process, ribs,
greater trochanter, medial & lateral maleolus,lateral condyles )

Sitting (isschial tuberosity )

Common sites of bedsores

Common sites-1

Common sites-2

4 Stages of bedsore

Assessment of pressure sores 

Site Size Shape Stage Presence of Necrotic or sluff tissue Exudates Undermining & Tunneling Granulation & epithelial Tissue Wound Edge Surrounding Skin

AIM  Remove source of irritation  Necrotic tissue  Infection control  Protect new healthy tissue  Team work  Improve quality of life

Factors helping to cope with aging 

Physical health & activities Mental health Social activities Prevention of accidents & Abuse Health Teaching Financial resources

Thank You!!

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