Therapy

• Management of decubitus ulcers with nonmedicament includes dietary

regulation and medical rehabilitation.

• Giving a diet high in calories, protein, vitamins and minerals will improve

the nutritional status of decubitus ulcer patients. Increased nutritional

status of this patient will improve the patient's immune system so as to

accelerate the healing ulcer dekubitus.

• The medical rehabilitation therapies given for the healing of decubitus

ulcers are by infrared radiation, short wave diathermy.

Therapy
• Maintain cleanness in ulcers and surrounding
areas
• Compresses, washing, rinsing, drying and
topical ingredients such as 0.9% NaCl solution,
3% H202 solution and 0.9% NaCl, plasma
solution and Burowi solution and other
antiseptic solutions.
Therapy
• Resolving infections
It needs culture check and resistance test. Systemic
antibiotics may be given if the patient has sepsis and
cellulitis.
Cleaned several times daily with an antiseptic
solution such as a 3% H 2 O 2 solution, 1% povidone
iodine, 0.5% zinc sulfate. Ultraviolet radiation
(especially UVB) has a bactericidal effect.
Therapy
• Stimulate and help the formation of granulation and
epithelial tissue.
• To accelerate the formation of granulation and epithelial
tissue in decubitus ulcers so as to speed healing can be
given:
• Topical materials for example:
2% salicylic salicy ointment, zinc preparation (ZnO, ZnSO4).
• Hyperbaric Oxygen; In addition to having bacteriostatic
effects on a number of bacteria, also have a proliferative
epithelial effect, increase granulation tissue and improve
vascular state
Therapy
• Surgical action
Surgical action aims to clean ulcers and accelerate ulcer
healing and closure, especially decubitus grade III & IV ulcers
and hence frequent skin tanning, myocutaneous flap, skin
graft and other interventions on ulcers.
Complication
• Complications often occur in stages 3 and 4, although
it can also be in superficial ulcers. Complications that
may occur include infection (often multibacterial,
either aerobic or anerobic), involvement of bone and
joint tissue such as periostitis, osteitis, osteomyelitis,
septic arthritis, septicemia, anemia,
hypoalbuminemia, even death
Prognosis
• There are many factors that may relate to Ulcus decubitus . These
factor are age, size and the degree of ulkus dekubitus, nutrition and
another disease in the patient.