Question

Bed Sores and Ulcerations

1- Briefly distinguish between a "bed sore" and a "venous ulceration"

2- Most cases of bed sores and venous ulcerations in immobile patients is blamed on neglect and abuse. Do you agree this is the most likely cause? Why or why not?

3- Typically, moving / rolling patients is assigned to entry level staff (e.g. Orderly, NA, CNA, LVN, LPN) as opposed to executive level staff (RN, BSN, MSN, NP, DNP, MD, DO). Since this task is essential to proper patient care, why do you think it isn't a "typical" duty of the higher level medical staff?

Answer 1

Ans 1.

Bed sore	Venous ulceration
They are caused by thesustained pressure on an area of the body that cuts the flow of blood in that area. Often develop on the skin covering ankles, hip and heels. Painful open sore with discolored skin around it. Bed sores are slow to heal and depends upon the severity and other prevailing diseases it may take weeks, months or even years to heal.	These are caused by damaged valves that lead to poor circulation in the kegs and causes pooling of blood in the legs. Often seen on the legs due to impropet circulation of blood. Occus as shallow sore with red base. With proper treatment they heal within 3 to 4 months.

Ans2. Yes i completely agree to that statement as it is a visible mark of caregiver sin. Venous ulcerations and bed sores commonly arise due to fault in nursing the immobile patients. As the patient is immobile he/she is unable to reposition themselves hence need nursing support.

Ans3. Moving or rolling a patient is to be carried out with proper care and is and essential part of patient care.The reason why it is being carried out by entry level staff is that the higher level medical staffs feels it is not their typical job and that they have other important duties assigned to them like prescription surgery etc rather than moving a patient. These higher level medical staffs must understand that moving a patient also comes under their duly assigned duties and it is not only the sole responsibility of the lower staffs.