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Nurse hong e

PRESSURE SORE PREVENTION
AND CARING IN SCI PATIENTS.

NURSE Pham Phuong Hong
Bach Mai Rehabilitation
Center


INTRODUCTION


Since

May,

2008

with

the


auspices

of

Handicap

International (HI), Bach Mai Rehabilitation Center started to
provide treatment for SCI patients with 20 beds.


Between May 2008- May 2009, we have 198 SCI patients
admitted.



24.7% (N: 49) have pressure sore at the time of admission.


OBJECTIVE
S


Prevent pressure sore in good ways.



Reach the good results in pressure sore
management.


GRADE OF PRESSURE SORE
WHEN ADMITTED


PRESSURE SORE AND ASIA SCALE
WHEN ADMITTED


OUT COMES OF PRESSURE SORE
MANAGEMENT BEFORE DISCHARGE


PRESSURE SORE IN RELATION WITH SCI CAUSES

Causes

Grade of pressure sores
0

1

2

3

Total

4

Non41
traumati
c

4

1

2

1

49

Traumati 108
c

24

9

6

2

149

Total

28

10

8

3

198

149



PRESSURE SORE PREVENTION
Educate and give advice to the patients and
their families about the important role of
pressure sore prevention


PRESSURE SORE PREVENTION


Always in right positions in bed or in wheelchairs.



Change the posture every two hours.



Use cushions and pillows if skill at risk of pressure.



Keep hygiene of clothes, keep bed sheet without
folds.


PRESSURE SORE PREVENTION


Massage to maintain blood circulation.



Keep skin dry and clean.



Ensure a diet with enough nutrition.



Use a mirror to check skin.



PRESSURE SORES MANAGEMENT
PROCESS

Educate and advise for patients and their
families about pressure sores


SOME PICTURES ABOUT PRESSURE
SORES AT REHABILITATION CENTER
General principles


Avoid more pressure on the area of
pressure sores.



Change posture every two hours



Keep skin dry and clean



Ensure enough nutrition


Equipment
preparation




Educate patients
and their
families


Before
discharge


CONCLUSION


No more cases with pressure sores at the Center.



94,4% of patients with pressure sores before
discharge.



Health staffs, patients and families need to work
together to get good results in prevention and
management of pressure sores in order to improve
the quality of life of SCI patients.



THANKS FOR YOUR ATTENTION



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