Pressure-ulcers: what is right is not always popular. (Photo by Dominika Roseclay on Pexels.com)
Pressure-ulcers: what is right is not always popular.
I am not proud to write this post.
When friends called for help;
that their loved ones
were discharged from hospitals
with a pressure ulcer...
" My mum is bedridden.
Please keep her dry and turned regularly
... to prevent her skin breaking down."
"This is too demanding, impossible;
... cos we're short-staffed!"
What is right, is not always popularly done.
Yet, some hospitals are able to maintain a zero pressure-ulcer rate
among their bedridden clients.
"I am on wheelchair since five years ago
and I don't have any pressure ulcer on my butt.
Know what?
The therapist showed me a picture-
an ugly pressure ulcer!!!
I work hard not to develop one!"
"We took turns to look after
our mum in the hospital.
Changing her when soiled,
turning her regularly
with the help of the staff."
What is popularly done, is not always right.
Some unfortunately,
did develop pressure ulcers
during their stay in a hospital.
Prevention of pressure ulcers
is a multidisciplinary responsibility
(Physicians, physical therapists, nutritionists, nurses),
although nurses play a significant role.
Do you agree that the family members and carers should have a role in pressure ulcer prevention, too?
"A pressure ulcer should not be allowed to develop in the first place.
Cos it would take another long journey to healing that 'wound'!"
Quote:
What is right is not always popular, what is popular is not always right- Albert Einstein
Terjemahan Google ke Bahasa Melayu/ 谷歌翻译成中文
Ulser tekanan: yang betul tidak selalunya popular.
Saya tidak bangga menulis catatan ini.
Semasa rakan meminta pertolongan; bahawa orang yang mereka sayangi keluar dari hospital dengan ulser tekanan …
"Ibuku terbaring di tempat tidur. Tolong jaga dia kering dan berpusing secara berkala … untuk mengelakkan kulitnya pecah."
"Ini terlalu menuntut, mustahil; … kerana kita kekurangan kakitangan!"
Apa yang betul, tidak selalunya popular.
Namun, beberapa hospital dapat mengekalkan kadar ulser tekanan sifar di kalangan pelanggan mereka yang terbaring di tempat tidur.
"Saya menggunakan kerusi roda sejak lima tahun yang lalu dan saya tidak mempunyai ulser tekanan di punggung saya. Tahu kenapa? Ahli terapi menunjukkan kepada saya gambar- ulser tekanan yang buruk! Saya berusaha keras supaya tidak mendapat ulser tekanan!"
"Kami bergilir-gilir menjaga ibu kami di hospital. Mengganti dia ketika kotor, memusingkannya secara berkala dengan bantuan kakitangan."
Apa yang biasa dilakukan secara popular, tidak selalunya betul.
Sebilangan malangnya, mereka mengalami bisul tekanan semasa mereka tinggal di hospital.
Pencegahan ulser tekanan adalah tanggungjawab multidisiplin (Doktor, ahli terapi fizikal, pakar pemakanan, jururawat), walaupun jururawat memainkan peranan penting.
Adakah anda bersetuju bahawa ahli keluarga dan pengasuh juga harus berperanan dalam pencegahan ulser tekanan?
"Ulser tekanan seharusnya tidak berkembang sejak awal. Kerana memerlukan perjalanan panjang untuk menyembuhkan 'luka' itu!"
Petikan: Yang benar tidak selalu popular, apa yang popular tidak selalu betul- Albert Einstein
Serena Chen @TPTan, Master degree in nursing (Monash) .
Serena teaches local and overseas nurses in a stomaltherapy program. She had presented papers internationally. Serena is a member of the ‘Golden Key International Society (Monash). She was an editor of a mental health bulletin and she enjoys pottery works, cartoons, painting and poems.
She shares insightful experiences about being a carer for people with mental illness and cancer in this defining society.
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2 thoughts on “Pressure-ulcers: what is right is not always popular.”
“This is too demanding and impossible cos we are short staff”.That is wrong. Bedridden patients should be turned every two hours and prn while in bed and every one hour while in the wheelchair. This is for pressure redistribution and for patient comfort. Pressure ulcer is very painful, expensive to cure,very uncomfortable for patient and family. Body image disturbance related to skin integrity.And patient should have heel protectant while in bed.This is for offloading.
“This is too demanding and impossible cos we are short staff”.That is wrong. Bedridden patients should be turned every two hours and prn while in bed and every one hour while in the wheelchair. This is for pressure redistribution and for patient comfort. Pressure ulcer is very painful, expensive to cure,very uncomfortable for patient and family. Body image disturbance related to skin integrity.And patient should have heel protectant while in bed.This is for offloading.
Good points there! TQ.