Successful Treatment of a Large Coccygeal Pressure Ulcer Using Injectable Acellular Dermal Matrix: A Case Report

Pressure sores are common but troublesome for both patients and clinicians. They can range from mild to severe and must be managed accordingly. Despite advancements in both non-surgical and surgical intervention, no standard treatment protocol has yet been established. Since pressure sores can occur in a variety of clinical settings, treatment must be individualized to the patient’s circumstances. Recently, acellular dermal matrix (ADM) has been utilized as an alternative treatment for non-healing wounds. In the present report, we describe the case of a non-ambulatory patient in whom a large pressure sore located near the anus was completely cured using CG paste, an injectable ADM.

A Smart System to Ease Occurrence of Bedsores

The occurrence of bedsores in Ghanaian hospitals, elderly homes or care homes is especially high among patients or people who are incapacitated and cannot move or turn on their own, and who happen to remain in a particular posture for a very long time. Patients in coma, those operated on and for that matter in critical state, and patients confined to wheelchairs are primary examples. Constant pressure on some parts of the body leads to the occurrence of pressure sores or ulcers. This paper seeks to implement a Bedsore Easing System (BeSoSys) that integrate several embedded hardware components, a database and software to reduce the occurrence of bedsores. These embedded hardware components include the Bed Device Unit (BDU), the Pocket Device Unit (PDU), a pressure or weight sensor, a temperature sensor, and an inflation-deflation device. The BDU is fitted into the bed of the patient or on the surface of skin contact of the patient. The PDU is assigned to nurses or caretakers to serve as an alarm system for patient repositioning depending on situation. All activities in the Bedsore Easing System are logged into a database for future references. A bedridden patient exerts constant pressure on the bony protrusions of the body, and this causes bedsores. It was found out during the research that in Ghana, the nurses or caretakers used to turn and massage patients at some random time intervals as a way of preventing bedsores. This traditional way of turning and massaging patients is not only tedious but also ineffective. This paper seeks to provide easy, better, and effective solution to ease bedsores. The BeSoSys intends to prevent the occurrence of bedsores hence the alleviation of bedsore complications

Hubungan Antara Tingkat Pengetahuan Mobilisasi Dini Dengan Perilaku Mobilisasi Dini Pasien Post Operasi Apendik

Introduction: One of the postoperative client care is to do the mobilization. Mobilization exercises are carried out to prevent complications, prevent pressure sores, stimulate peristalsis and reduce pain. Methods: The design of this study is a descriptive correlative study which aims to determine the relationship between the level of knowledge and motivation of nurses on the provision of early mobilization. The population of this research is the appendic patient at RSAL Dr. Mintohardjo. The sample in this study was total sampling, with a sample of 59 respondents. The instrument uses an observation sheet. Results: The results showed that the value of P value = 0.007 means P value <0.05, so it can be concluded that there is a significant relationship between the respondent's level of knowledge and early mobilization behavior. Discussion: There is a significant relationship between the respondent's level of knowledge and early mobilization behavior

Medical Robotic Bed to Prevent Pressure Sores

Patients who stay in bed for long periods are prone to pressure sores. Pressure sores cause multiple complications and prolong hospitalization. To prevent pressure sores, the patient’s lying position must be changed continuously so that excessive pressure on any body part does not last long. In this paper, we propose a novel robotic bed to prevent the formation of pressure sores. This robotic bed is composed of multiple segments that are driven independently by brushless direct current motors and that use body pressure information for feedback control. By controlling the movement of the segments on the top of the bed with a fuzzy controller, the patient’s body pressure is kept below the reference value. Moreover, a belt-type body pressure sensor is developed herein by using force-sensing resistor technology to measure the patient’s body pressure. A bed control system composed of the main controller, a teach pendant, motor controllers, and sensors was implemented. Through real experiments, the validity of the proposed robot bed was verified, and it was confirmed that the fuzzy closed-loop controller followed the reference body pressure commands well.

EXTERNAL COAPTATION DEVICES (ECD) IN DOGS

External coaptation is dened as the use of bandages, splints, casts, or other materials to aid in stability and support for soft and osseous tissues. Furthermore, external coaptation can help manage wounds and control edema. External coaptation can be used as either: Primary xation for a fracture, ancillary xation to provide additional support, or temporary xation for an open fracture and/or until denitive surgical correction can take place. External coaptation should only be used in fractures distal to the elbow and stie, as correct application requires immobilization of the joints above and below the fracture. Certain splints, such as spica splints, can help immobilize more proximal injuries (humerus and femur). A cast extended to the level of the proximal portion of the tibia caused less pressure at the level of the calcaneus and the proximal cranial edge of the cast. Reducing the amount of pressure at these locations may minimize the potential for pressure sores and other soft tissue injuries (Iodence et al. 2018).

Comparison of the skin lesions in patients with coronary artery disease at the time of admission in coronary care unit (CCU) and at discharge

Background: Patients admitted in especial units such as coronary care unit (CCU) require intensive care for different aspects including skin problems. Here in this report we aimed to perform a survey on different skin lesions in patients admitted in CCU by the time of admission and when discharging. Methods: In this cross-sectional study, we had a survey on 200 patients admitted in CCU in AL-Zahra hospital, Isfahan. A dermatologist observed and examined each patients for any skin lesions by the time of admission and when discharging from CCU. Results: Here we showed that 15 percent of patients admitted in CCU have at least one skin lesion and also we indicated that seborrhea dermatitis and then rosacea have the most prevalence by the time of admission in CCU. Other skin lesions were acute skin failure. We also showed that prevalence of bed sore and pressure sores increased amazingly during admission. Conclusion: Rosacea, seborrhea dermatitis and drug allergic reactions after pressure sores are the most frequent skin lesions in CCU and there might be an association between rosacea and cardiovascular diseases.