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MoonDragon's Health & Wellness
Disorders

GUIDELINES FOR PREVENTING PRESSURE ULCERS
(Bedsore Patient Care and Nutrition)


For "Informational Use Only".
For more detailed information, contact your health care provider
about options that may be available for your specific situation.





  • Bedsore Description
  • Bedsore Prevention
  • Bedsore Treatment Recommendations
  • Diet & Nutrition Recommendations
  • Nutritional Supplement Recommendations
  • Notify Your Health Care Provider
  • Wound & Skin Care Products




  • bedsores


    BEDSORES DESCRIPTION

    PRESSURE ULCERS

    Someone may be confined to bed for a long period of time for a variety of reasons; to fight an illness, to recover from an injury or just to live out old age. As if restricted mobility weren't enough, bed-bound patients may also suffer from bedsores. The problem occurs when pressure is exerted on areas of the body, particularly on such bony regions as the buttocks, hips and shoulder blades. The pressure restricts circulation and breaks down the tissues of the skin. Dark red or purple spots may appear first and can progress to form deep ulcers that may weep or ooze pus. These wounds are often slow to heal, requiring a lengthy treatment. Anyone who is confined to bed may develop sores, but the elderly are at greatest risk since they often already have poor circulation. Those bound to wheelchairs are also prone to bedsores.

    Bedsores are often considered to be a sign of patient neglect and are common occurrences in institutional settings when patient care is often lacking and substandard and may even border on the edge of abuse. At home, with attentive care, prevention and early treatment can prevent serious, possibly life-threatening ulcerations and infections. If you suspect a loved one is being neglected, shows signs of ulcerations and/or abuse, you need to report the situation to the proper authorities.

    Fortunately, good nutrition, assisted exercise, therapeutic massage and clean linens all help discourage the formation of bedsores and serious skin ulcers. Natural healing methods have also proven effective in healing bedsores.





    BEDSORE PREVENTION

    PREVENTION PRIORITY

    Nursing care actions are vital in identifying potential causes of breakdown and elimination or minimizing them. The following care should be given. These are standard recommendations for health care providers taking care of people at home, in nursing home, or a hospital facility. For more nutritional and holistic approaches, see below under Treatment.

    turning schedule

    Example of a turning schedule wiht a position change every 2 hours.


    Bedsores are slow to heal, and treatment can be lengthy; therefore, it is important to take preventive measures when caring for a patient who is bedridden. A patient who cannot move on her own should be turned several times daily. Sheets should be smooth and bedclothes supple and soft, without seams; linens should be changed every other day, and the skin should be kept dry. The best mattresses distribute pressure and protect the skin, so obtain a good, comfortable bed. Egg-carton foam pads also help.

    MoonDragon's Health & Wellness: Bedsores - Description, Symptoms, Causes, and Medical Prevention & Treatment Overview

    CHANGING POSITIONS

    Simply changing positions every few hours while lying in bed, or every 15 minutes while seated, significantly reduces the risk. Providing an overhead trapeze can help patients be more mobile. A 2-hour time frame is a generally accepted maximum interval that the tissue can tolerate pressure without damaged. A patient who cannot change position without assistance should be turned and repositioned at least every two hours, more frequently if needed, with the use of pillows as support.

    TURNING SCHEDULE GUIDELINES

  • Change the person's position at least every 2 hours. Some people will require positioning more often. A major shift in position is required. When positioning a person, be careful to avoid friction, such as sliding the person over bedclothes or against equipment. Use lifting devices to avoid dragging. The care plan for each person must be followed carefully. The turning schedule will be posted for or given to the caregivers and should be kept in the person's room. The graphic shows an example of the sequence of turns.

  • Encourage the person sitting in a geri-chair or wheelchair to raise themselves every 10 minutes to relieve pressure, or assist the person to do so.

  • PROPER NUTRITION & HYDRATION

  • Encourage proper nutrition and adequate intake of fluids. Without proper nutrition and hydration, the patient is at greater risk of developing pressure ulcers and wound healing will be more difficult. Breakdown occurs more readily and healing is delayed when the person is poorly nourished. Proper nutrition may require tube feedings with enriched high-protein and high-vitamin supplements. Protein intake is particularly important. People who are able to eat should be encouraged to do so. Adequate fluids are a requirement. Consult with an expert as needed to insure maximum nutritional support. Research indicates that good nutrition is a crucial factor in a partient's recovery. See below under Diet & Nutrition Recommendations for more information.

  • INSPECTION & REPORTING

  • Whenever giving personal care to a person, carefully inspect areas where pressure ulcers (bedsores, decubiti) commonly form. Report any reddened areas immediately to family, supervisor, or health care provider in charge of the person's medical care.

  • Inspect the skin daily and report the condition. Keep a daily care journal and note any changes or problems. This will be helpful for follow-up medical care.

  • PROPER HYGIENE & SKIN CARE

  • Immediately remove feces or urine from the skin, because they are very irritating. Wash and dry the area immediately.
  • Keep the skin clean and dry at all times.
  • Keep linen dry and free from wrinkles and hard objects such as crumbs and hairpins.
  • Bathe the person frequently. Pay particular attention to potential pressure or friction areas. Avoid hot water and friction.

  • PRESSURE REDUCTION

    Pressure-relieving and pressure-reducing devices have been developed for preventing pressure injury. None of these insures complete protection. Specialized mattresses can facilitate pressure reduction and appear to be effective in reducing the development of pressure ulcers when compared with standard mattresses. Use of medical sheepskins and egg crates is controversial. Although offering more protection than standard mattresses, they relieve surface pressure only and might give a false sense of security. Air-fluidized beds have been shown to more effectively reduce the development of pressure ulcers in patients. Low-air-loss and air-fluidized beds have been shown to consistently relieve pressure on bony prominences. Additional protection may still be needed to relieve heel pressure. If the patient cannot move, heels must be raised off the bed. Pillows should be placed under the legs from mid-calf to ankle, not behind the knee. Studies indicate that turning more frequently than 2 hours is needed if a standard mattress is used. If the patient is in a chair, the position should be changed every hour. Do not use donut-shape cushions. They can increase the risk of getting a pressure ulcer by cutting off blood flow and causing tissue to swell.

    BLOOD CIRCULATION & PREVENTION AIDS

  • Massage around reddened areas frequently with rubbing solution. Do not massage directly on the site and do not use alcohol if areas are reddened or skin is broken. Apply moisturizers on dry skin by patting. Do not rub vigorously.
  • Do not use lotion on broken skin.
  • Separate body areas that are likely to rub together, especially over bony prominences, by using pillows or foam wedges according to the care plan.
  • Use mechanical aids, such as foam padding, sheepskin, or an alternating-pressure mattress, to relieve pressure.
  • Protect areas at risk, such as heels and elbows.
  • Use a turning sheet to move a dependent person in bed.
  • Elevate the head of the bed no higher than 30 degrees, to prevent a shearing effect on the tissues.
  • Carry out range-of-motion exercises at least twice daily to encourage circulation.
  • Check for improperly fitted or worn braces and restraints.
  • Check nasogastric tubes and urinary catheters to be sure they are positioned so as not to be a source of irritation. Keep the nasal and urinary openings clean and free of drainage.These areas must be checked frequently and carefully.
  • Use sheepskin and artificial sheepskin pads between the person and bottom linen, wheelchair backs, or wheelchair seats where excess pressure may be expected.
  • For people sitting in geri-chairs or wheelchairs, use foam, gel, or air cushions to reduce pressure on buttocks and sacrum. Routinely monitor such people for skin problems.
  • For people in bed, relieve pressure on heels by supporting feet off the bed.
  • Report signs of infection, such as fever, odor, drainage, inflammation, or bleeding to the person's family, supervisor, or health care provider so further medical attention can be given.

  • DAILY EXERCISE

    Look for ways to improve the patientís ability to move. Exercise increases blood flow and speeds healing. In many cases, even bedridden patients can perform stretches and isometric exercises. Encourage the patient to use a trapeze to briefly raise his or her body. The use of restraints on a patient in a nursing home facility increases the risk of developing bedsores. Avoid excessive bed rest and review medications, especially drugs increasing somnolence.

    EDUCATION

    Education of the patientís family and caregivers is a key function of prevention and care.

    CHOOSING A CARE FACILITY

    Established bedsores are painful and life threatening. They lengthen the time spent in hospitals or nursing homes and increase the cost of care. Bedsores, unfortunately, are found more commonly in long-term care facilities (nursing homes and rehab hospitals) than in short-term care institutions or home care. One of the reasons for this is that the patient has less personal care and attention in long-term facilities, who are often short-staffed and can be neglectful of bedridden individuals, letting them lay in their beds without proper turning and safety measures that can help prevent bedsores. Careful daily inspection of a bedridden person's skin can detect early redness. Any sign of redness is a signal that immediate action is needed to prevent skin breakdown.

    In choosing a facility for a family member, pay special attention to the care of the residents in the facility. If your family member is already in a facility, check them for signs of bedsores or skin breakdown. Report it immediately to the head of the medical or nursing staff and follow up on the report to make sure they are correcting the problem. If not, it would be better to find another facility.

    When a person is admitted to a care facility, the nurse will assess the patient's current status and potential for skin breakdown. This assessment gives a baseline against which all future assessment may be measured. The assessment may be described on the patient's chart in words, pictures, diagrams, or as a score. If a nursing diagnosis of actual or "potential impairment of skin integrity" is made, every staff member must make extra efforts to prevent skin breakdown, limit any breakdown that has already occurred, and promote the healing process.





    BEDSORE TREATMENT RECOMMENDATIONS

    CONVENIONAL MEDICAL ACTIONS TO TAKE WHEN BREAKDOWN OCCURS

    Nursing care actions when skin breakdown occurs include:
    • Performing the actions listed in the guidelines to prevent further breakdown.
    • Following the care plan exactly.
    • Reporting indications of infection, such as fever,odor, drainage, bleeding, and changes in size.
    • Keeping the area around the breakdown clean and dry.
    • Assisting with baths to keep the area clean.
    • The area may be covered with a dry, sterile dressing (DSD).
      • Holding a DSD without causing additional injury is not easy. The skin of some individuals may be sensitive to regular tape. In this case, silk tape, paper tape, cellophane tape, or other hypoallergenic tape may be used. To prevent injury when removing the tape for a dressing change, a saline solution is applied to loosen the tape.

    • The patient may be placed on alternating-pressure mattresses or pressure-reducing mattresses or beds.
    • In some facilities, open lesions are packed loosely with gauze soaked in a wound gel. The gel keeps the lesions moist, breaks down dead cells, and promotes healing.
    • Teflon-coated or petroleum jelly-impregnated gauze has the advantage of not sticking to the healing wound.
    • The area may be protected and kept moist by using special dressings.
      • These dressings have a clear plastic covering that permits air to reach the tissues, but also keeps them moist to promote healing. The dressing must extend beyond the wound edge. It is held in place with a frame of either paper or silk tape. The dressing must be changed every 3 to 5 days unless there is leakage or according to facility policy.

    • The wounds may be cleaned with saline solution and debrided (dead tissue removed) using instruments and proteolytic enzymes (substances that react with skin proteins) by a qualified health care provider. Chemical agents can be used instead, but they are generally less thorough than a scalpel.
    • Deep bedsores are difficult to treat. Sometimes they require transplanting healthy skin to the damaged area.
      • Unfortunately, this type of surgery is not always possible, especially for frail older people who are malnourished. Often when infections develop deep within a sore, antibiotics are given. When bones beneath a sore become infected, the bone infection (osteomyelitis) is extremely difficult to cure and may spread through the bloodstream, requiring many weeks of treatment with an antibiotic.

    • For deeper sores, special dressings that contain a gelatin-like material can help new skin grow.
      • If the sore appears infected or oozes, rinsing, washing gently with soap, or using disinfectants such as povidone-iodine can remove the dead and infected material. However, cleansing too harshly slows healing.

    • Antiseptic sprays, antibiotic ointments, and dressings are used to control infection.
    • Surgery may be needed to close the ulcerated area in severe cases.

    Guidelines for Preventing Pressure Ulcers (Bedsores) - Herbal, Nutritional, & Holistic Recommendations

    Patients (and their family members) should be encouraged to participate to whatever extent is possible in their own care. Attentive nursing care is essential in preventing skin breakdown. Remember that it is far easier to prevent pressure ulcers than to heal them.

    HOME CARE OVERVIEW

    Striving to prevent bedsores is always the top priority. However, if you cannot, promote their healing and stave off infection by practicing good hygiene. Wash the wound several times each day with disinfectant solutions, such as an iodine wash, or us an herbal preparation. Apply bandages as needed, and change the dressings frequently. Treat open wounds with moist compresses, and use a salve after the wounds close.

    BLOOD CIRCULATION TO TISSUES

    Ensuring adequate circulation to tissues is a major factor in preventing skin breakdown. This can be accomplished by:
    • Positioning the patient properly.
    • Using mechanical aids.
    • Giving back rubs.
    • Performing active or passive range-of-motion exercises.

    PHYSICAL THERAPY

    Help improve a patient's circulation by taking limbs through their full range of motion several times a day. You can reduce a patient's risk for bedsores by gently rotating her arms and legs and changing her position frequently.

    POSITIONING

    Five basic in-bed positions are used to relieve pressure as the patient's condition permits. Each position must be supported for comfort. The care provider must remember that not all patients are able to assume the full range of positions, because of disabilities such as arthritis, contractures, and breathing limitations. Patients who sit in geri-chairs or wheelchairs for long period of time must also change position to relieve pressure.

    Patients with special problems require extra care when they are positioned in bed. For example:
    • Be sure the patient can breathe properly.
    • Remember that a fractured hip is never rotated over the unaffected leg.
    • If the patient had a stroke, elevate the weak arm to reduce edema.
    • Always maintain proper body alignment.
    • The patient with a recent stroke is turned on the unaffected side.

    The five basic positions patients assume in bed are:
    • Supine position.
    • Semisupine position.
    • Lateral position.
    • Semiprone position.
    • Fowler's position.

    MoonDragon's Health Information: Patient Positions (Graphic Descriptions)

    MECHANICAL AIDS

    Mechanical aids are used to reduce pressure. Although most bedsores can be prevented, once formed, they can be kept in check if you regularly examine the afftected areas, keep the skin clean and dry, and relieve any pressure on sensitive areas. If mobility is limited, you can use special foam, gel, or air cushions to relieve this pressure. Also, make sure that anyone with limited mobility gets turned on a regular basis (every 2 hours). Mechanical aid examples include:
    • Special absorbent foamlike bandages can be used for persistent bedsores to reduce the pressure on sensitive areas and help promote healing.

    • Sheepskin Pads (or Artificial Sheepskin). These absorb moisture and reduce friction when placed under the patient.

    • sheepskin pads

      Sheepskin Pads.

    • Foam Pads & Pillows. These are used to bridge areas to reduce pressure. Watch the patient for signs of disorientation that might be caused by the feeling of weightlessness. Adequate fluid intake to prevent urinary stasis must be provided and conscientious range-of-motion exercises must be carried out.

    • Protectors. These are for areas such as heels and elbows. They are meant to protect areas that are subject to friction as the patient moves in bed.

    • elbow protector

      Elbow protector.


      heel protector

      Heel protector.


    • Bed Cradles. Cradles can lift the weight of bedding that must be carefully positioned and may be padded because injury can occur if the resident strikes them.

    • SPECIAL MATTRESSES

      There are special mattresses designed for people who are bedridden. They have pockets of air connected by small tubes. When placed between the sheet and the standard mattress, it decreases the pressure on sensitive areas when a person has to lie in one position for long periods of time. Anatomically shaped cushions can be used to help distribute the weight more evenly, along with special pads designed specifically for heels and elbows.

    • Alternating-Pressure Mattresses (Air Mattresses). This type of mattress is used in some facilities. Air pressure is reduced in a different area of the mattress on an alternating basis. The air pressure alteration reduces pressure against the body so that no skin area is continuously subjected to pressure.

    • alternating air pressure mattress

      Alternating air pressure mattresses overlay. Alternating air pressure in the mattress cells changes the pressure points against the patient's skin and gently massages the skin.


    • Flotation Mattresses. This is a water bed with controlled temperature. The weight of the resident's body displaces water so that pressure is consistently equalized against the skin. Sheets should not be tucked tightly over a flotation mattress because this will restrict its function.

    • Pillows. Pillows are used in a technique called bridging. In bridging, body parts are supported by pillows so that spaces are left to relieve pressure on specific areas.

    • mattress filled with water

      Mattress filled with water helps to minimize pressure points on the body.


    • Gel-Filled Mattresses. The gel in this type of mattress has a consistency similar to body fat. It allows a more equal distribution of body weight because it conforms to the body contours.

    • Special Equipment. Specialized beds or overlays are available for residents who need continuous pressure relief. One type is the "Clinitron" bed. It is filled with a sand-like material. Warm, dry air circulates through the material to maintain an even temperature and support the body evenly.

    SKIN CARE

  • Although most bedsores can be prevented, once formed, they can be kept in check if you regularly examine the afftected areas, keep the skin clean and dry, and relieve any pressure on sensitive areas. If mobility is limited, you can use special foam, gel, or air cushions to relieve this pressure. Also, make sure that anyone with limited mobility gets turned on a regular basis (every 2 hours).
  • There are special mattresses designed for people who are bedridden. They have pockets of air connected by small tubes. When placed between the sheet and the standard mattress, it decreases the pressure on sensitive areas when a person has to lie in one position for long periods of time. Anatomically shaped cushions can be used to help distribute the weight more evenly, along with special pads designed specifically for heels and elbows.

  • Special absorbent foamlike bandages can be used for persistent bedsores to reduce the pressure on sensitive areas and help promote healing.

  • Dimethylsulfoxide (DMSO) is helpful for promoting healing. It is applied topically directly to the affected area. Note: Only DMSO from a health food store should be used for therapeutic purposes. Commercial-grade DMSO found in hardware stores is not suitable. The use of DMSO may result in a garlic-like body odor. This is temporary, and is not a cause for concern.

  • Try applying Essential Oils and/or Aloe Vera with a little Tea Tree Oil added to the affected area. This is very good for the skin, and helps existing bedsores to heal as well as preventing new ones from forming. (Keep these oils away from the eyes, however, because they burn.)

  • Take measures to prevent bedsores from developing:
    • Do not let an immobilized individual stay in one position for too long - move him or her every 2 hours.

    • Keep the bed clean, dry, and tidy. Lying on wrinkled bed linens can lead to bedsores.

    • Have the individual wear loose-fitting clothing made from all-natural materials. Cotton is best because it allows air to penetrate the skin. Pay attention to clothing construction as well. Avoid items with seams, gathers, or other features that may press on sensitive areas.

    • Allow as much light and fresh air into the bedridden person's room as he or she can tolerate.

    • Give frequent alcohol rubs to stimulate circulation and prevent blood vessels from closing up. Use isopropyl (rubbing) alcohol and cotton balls or sterile gauze to apply the alcohol. Do not use alcohol if skin is reddened or broken. As an alternative, Witch Hazel can be used instead. Alcohol can be very drying to the skin. Use a good, natural moisturizer on skin.

    • Gently but firmly massage pressure points and other affected areas once daily to increase circulation.

    • Give a sponge bath daily using warm water and a mild herbal or Vitamin E soap. Do not use harsh soaps.

    • Inspect pressure points daily for reddening or other signs that a sore may be developing.

    • Keep the skin dry; include thorough drying after bathing. Be sure to dry carefully in skin folds and other places that moisture will collect and skin will rub together.

    • If the person can sit up, have him or her do so 3 to 4 times daily, or use pillows as a prop. Be careful not to allow person to slide down in bed as this can cause shearing.

    shearing from sliding down in bed
    When a person slides down in bed, or in a wheelchair, shearing occurs with potential skin damage.



    REDUCING SHEAR FORCES & FRICTION

    Shearing is also a kind of pressure injury. It happens when the skin moves one way and the bone underneath it moves another way. Shearing and friction also cause rubbing and superficial irritation of the skin surface. This increases the skin's vulnerability to damage from pressure. Shear strains are higher where tissue between skin and bone is thin. Shear strain stretches and tears microstructures such as cell walls and capillaries. Some important sources of shearing and friction are:
    • Dragging or sliding a patient across the bed sheets.
    • Allowing the patient's unprotected elbows or heels to rub against the bed surface.
    • Rubbing against something such as a bed sheet, cast, brace.
    • Raising the head of the bed more than 30 degrees, which increases shearing forces over the lower back and tailbone. Friction between the skin and a stationary surface holds the soft tissue in place while gravity pulls the axial skeleton down. Frictional forces and their effects are present whenever there is either sliding or a tendency to slide.

    To reduce shear forces and friction avoid dragging the patient across the bed sheets. Instead, either lift the patient or encourage the patient to use a trapeze to briefly raise his or her body. Keep the bed free from crumbs and other small particles that can rub and irritate the skin. Discourage the bed or chair bound patient from sitting with head elevated more than 30 degrees except for short periods of time (unless instructed by a health care provider). Bony prominences should not be massaged. Use protection and padding as needed to prevent tissue abrasion. Sheepskin boots and elbow pads can be used to reduce friction on heels and elbows. Cleanse gently when washing the patient. Avoid rubbing or scrubbing the skin.

    HOMEOPATHIC REMEDIES

    Any number of homeopathic remedies help promote wound healing and can fight infection. Calendula is useful for ulcers and open wounds that won't heal. Sulfur (Homeopathic Sulphuricum) helps both to prevent and to treat infected sores. Arnica is a good option for bruises and sores caused by a mattress that is too hard.

    AROMATHERAPY

    Many essential oils have disinfectant properties and can be added to bathwater, liniments or lotions to prevent sores. Tea Tree Oil is especially preventive as a disinfectant, and Lavender Oil, Myrrh Oil, and Patchouli Oil can help treat bedsores.

    herbal liniments and oils for massage


    MoonDragon's Health & Wellness Disorders: Bedsores Description & Overview





    DIET & NUTRITION RECOMMENDATIONS

    A WELL BALANCED DIET

    A good diet is very important and makes bedsores less likely to develop. People who suffer from bedsores are usually seriously deficient in many nutrients, especially zinc and vitamin A, E, B-2 (riboflavin), and C. Vitamin A and E, in moderation, are useful in healing bedsores. Vitamin C acts as an anti-inflammatory and is generally good for the health of the skin and blood vessels.

    Without proper nutrition and hydration, the patient is at greater risk of developing pressure ulcers and wound healing will be more difficult. Encourage the patient to eat well and monitor his or her nutritional status. Protein intake is particularly important. Consult with an expert as needed to insure maximum nutritional support. Research indicates that good nutrition is a crucial factor in a patientís recovery.

  • Multivitamin and Multimineral supplements are necessary for individuals prone to bedsores. Malnutrition is a major contributor to skin wound formation and health. Nutrient uptake may be limited in compromised individuals so it is important to use one that is easily absorbed by the intestinal tract. A whole food supplement is often a recommendations, such as Alive Whole Food Multinutrient, which is better absorbed into the blood stream because its tablets disintegrate up to 5 times faster than other leading brands. A liquid multinutrient is also more easily abosrbed.

  • HERBAL & NUTRIENT RECOMMENDATIONS

    Herbal supplements and skin care products suggested for bedsores, also known as decubitus ulcers or pressure sores, are painful sores caused by constant deficiency of blood to tissues over a bony projection that has been subjected to prolonged pressure against an object like a bed, cast, or splint.

  • Aloe Vera juice can be taken internally as a dietary supplement used to re-nature the cells, tissues, glands and organs of all systems of the body to function as originally designed. The gel is used on the skin to aid in healing, keeping skin looking clean, clear, smooth, toned, hydrated and glowing with health. Can also reduce the appearance of fine lines, wrinkles and sun damage.

  • Antibiotic and Immune Support products can be used for supporting the immune system. Skin Care products are used for the treatment of skin-related problems. Use a natural antibiotic formula product to support the immune system.

  • Black Salve and Black OIntments are formulas made with herbs used to dry out and draw external wounds. Excellent herbal wound care products.

  • Colloidal Silver solutions and salves are natural antibiotics that can be used internally and externally. Silver is a powerful, natural, prophylactic / antibiotic, used for thousands of years. Ancient Greeks lined their eating and drinking vessels with silver, as did many other cultures throughout the world. The presence of Colloidal Silver near a virus, fungus, bacterium or any other single celled pathogen disables its oxygen metabolism enzyme, its chemical lung, so to say. Within a few minutes, the pathogen suffocates and dies, and is cleared out of the body by the immune, lymphatic and elimination systems. Unlike pharmaceutical antibiotics which destroy beneficial enzymes, Colloidal Silver leaves these tissue-cell enzymes intact, as they are radically different from the enzymes of primitive single-celled life. Thus Colloidal Silver is absolutely safe for humans, reptiles, plants and all multi-celled living matter.Since Colloidal Silver is eliminated by the kidneys, lymph system and bowel after three weeks, a regular daily intake is recommended as a protection against dangerous pathogens. In cases of minor burns, an accumulation of Colloidal Silver can hasten healing, reducing scar tissue and infection and topically it will remove pain and speed healing. The lives of millions of people susceptible to chronic low-grade infections can be enhanced by this powerful preventative health measure. Taken orally, the silver solution is absorbed from the mouth into the bloodstream, then transported quickly to the body cells. Swishing the solution under the tongue briefly before swallowing ensures fast absorption. In three to four days the silver will have accumulated in the tissues sufficiently for benefits to begin. Colloidal Silver supplements with 99.99% pure colloidal silver nanoparticles with the highest particle surface area ever measured for maximum immune support.

  • Comfrey leaf contains allantoin, which promotes the growth of connective tissue, bone, cartilage, and is easily absorbed through the skin. Can be used as a poultice for wound care is is one of the most well-known healing plants, especially for its ability to heal tissue and bone. A Myrrh and Comfrey poultice can be beneficial in treating bedsores, chicken pox, cuts, and skin eruptions. Used for its disinfectant properties.

  • Goldenseal, Myrrh Gum, Pau D'Arco, and Suma, taken in tea or extract form, are beneficial for bedsores. Buckwheat tea and Lime flower tea are also helpful. Caution: Do not take Goldenseal for more than one week at a time; do not use it during pregnancy; and use it under supervision if you have heart disease, diabetes, or glaucoma.

  • Mix equal amounts of Goldenseal powder or extract and Vitamin E Oil with a small amount of Honey to make paste, and apply the mixture to the sores often. This mixture gives fast relief and helps the healing process. Alternate this with raw Honey, Vitamin E Cream, and Aloe Vera Gel.

  • Honey has natural antibiotic and antiseptic qualities. Manuka Honey contains a high level of antibacterial activity not found in other honeys. Can be used externally to treat skin problems, and taken internally for digestive health and to assist digestive process.

  • Essential Fatty Acids are needed for healthy skin, joints, and cardiovascular function. An omega 3-6-9 oil blend formula is recommended.

  • Pascalite Bentonite Healing Clay is used in soap and toothpaste, applied as a poultice to insect bites, sunburns, infections, cold sores, canker sores and acne, and as a suppository for hemorrhoids. Users found it a potent skin cleanser and conditioner, drank it for heartburn and ulcers.

  • Sea Buckthorn oil is a rare source of vitamin E, Sea Buckthorn Oil also provides other vitamins including Vitamins A, C, D, K, etc, carotenoids, flavonoids, phytosterols, amino acids, serotonin and 28 trace elements: zinc, iron, calcium, magnesium, selenium, iodine, etc.

  • Tea Tree oil is a natural antiseptic. Used as an ointment it can be combined with the absorption powders Eucalyptus oil and Lavender oil to provide a highly effective herbal skin treatment for wound care.

  • Vitamin C with Bioflavonoids provide antioxidant protection for many of the body's important enzyme systems and skin health.

  • Witch Hazel has astringent properties useful in skin cleansing and care. Useful for hemorroidal complaints, and can be used exteranlly as a rinse or gargle for sore throats, Internally, it is used for treating diarrhea and hemorrage.

  • HERBAL COMPRESSES & POULTICES FOR WOUND HEALING

  • Calendula and Chamomile compresses can be used for wound healing. Pour 1 cup of boiling water over 2 teaspoons of dried Calendula or Chamomile flowers, steep for 10 minutes and strain. Dip a clean cotton towel in the warm tea, wring it out and place it directly on the wound. Apply several times each day, rewarming the towel as needed. To prevent further bedsores, massage bedridden patients with Calendula Oil diluted in a Carrier Oil or use a Calendula Salve or Cream once or twice daily, both are available commercially or can be made at home.

  • MoonDragon's Herbal Therapies: Herbal Ointments Index

  • Horsetail Compresses. Horsetail has a high silicic-acid content, believed to promote healing of wounds by encouraging repair and regeneration of skin and connective tissue. Steam a handful of Horsetail in a steamer for 10 to 15 minutes, or until soft. Remove the herb, cool slightly and wrap it in a warm, damp cloth. Place the cloth on the area of the skin that is affected by bedsores, and leave it in place for 1 hour.

  • Sage home remedy rinse. Sage is highly antibacterial, making it a good choice for a wash for bedsores. Pour 1 cup of water over 2 teaspoons of Sage leaves (dried), and let the tea steep for 10 minutes. Strain. Wash the affected areas with the cooled tea several times a day.


  • plantain poultice - compress for treating wounds


    PLANTAIN POULTICE TO PROMOTE HEALING

  • Plantain is topically used for minor cuts, bruises, and stings, The leaves are used externally to treat wounds, burns, dermatitis and insect bites. For millennia, a poultice of the Plantain leaves have been applied to wounds, stings, and sores in order to promote and facilitate healing and prevent infection. The active chemical constituents are aucubin (an anti-microbial agent), allantoin (which stimulates cellular growth and tissue regeneration), and a large amount of soothing mucilage (which reduces pain and discomfort), as well as flavonoids, caffeic acid derivatives, and alcohols in the wax on the leaf surface. The root of plantain was traditionally used to treat wounds, as well as to treat fever and respiratory infections.

  • Plantain has astringent and antibacterial components, which promote healing and make it an excellent remedy for skin inflammations. Plantain grows freely in grassy fields and most yards and is considered a "yard weed". If you gather fresh plantain, obtain it from areas away from roadways and grassy areas treated by pesticides and herbicides. Fill a blender or food processor with clean Plantain leaves and stems. Add just enough water or aloe vera to allow the blender's blades to operate properly, and then blend the mixture until pulpy. Apply the pulp to a bandage, and place the bandage on the wound.

    I have used fresh Plantain Leaves combined with fresh Comfrey Leaves poultices for treating wounds, bruises, blood blisters and sprains with great results.



    Extra Tip Geranium has anti-inflammatory properties and helps to dry wounds that are weeping. Pour 1 cup of boiling water over 1 ounce of dried Geranium Leaves, let steep for 10 to 15 minutes and strain. After the infusion cools, soak a soft cloth in the brew, and then apply it directly to the bedsore. Leave it in place for 30 minutes and repeat very few hours.


    NUTRITIONAL SUPPLEMENTS

    Unless otherwise specified, the following recommended doses are for adults over the age of 18. For children between the ages of 12 and 17, reduce the dose to 3/4 the recommended amount. For children between the ages of 6 and 12 years old, reduce the dose to 1/2 the recommended amount. For children under 6 years old, use 1/4 the recommended amount.

    NUTRIENTS
    Supplement
    Suggested Dosage
    Comments
    Very Important
    Essential Fatty Acids
    As directed on label. Needed for proper cell reproduction.

  • Essential Fatty Acid Supplement Products
  • Flaxseed Herbal Products
  • Evening Primrose Herbal Products
  • Fish Salmon Oil Supplement Products
  • Vitamin E
    200 to 400 IU daily and up. An antioxidant that promotes healthy skin and improves circulation.

  • Vitamin E Supplement Products
  • Zinc
    50 to 80 mg daily. Do not exceed a total of 100 mg daily from all supplements. Important in healing of tissues.

  • Zinc Supplement Products
  • Copper
    3 mg daily. Needed to balance with zinc.

  • Copper Supplement Products
  • Important
    Free Form Amino Acid Complex
    As directed on label. To supply protein needed for healing.

  • Amino Acid Supplement Products
  • Protein
    As directed on label. Can be made into liquid shakes or smoothies by adding to fruit juice, milk or water. Protein supplements to supply extra protein for healing.

  • Protein Supplement Products
  • Vitamin B-Complex
    100 mg twice daily, with meals (amounts of individual vitamins in a complex will vary. Read labels. Needed to reduce stress and for healing of tissues.

  • Vitamin B-Complex Supplement Products
  • Vitamin B-12
    2,000 mcg twice daily. Use a lozenge or subligual form if available.

  • Vitamin B-12 Supplement Products
  • Vitamin C
    3,000 to 10,000 mg daily, in divided doses. Aids in healing, improves circulation, and enhances immune function.

  • Vitamin C Supplement Products
  • Vitamin D
    400 to 1,000 IU daily. Essential for healing and for healthy immune system. Lack of exposure to sunshine increases the need for this nutrient.

  • Vitamin D Supplement Products
  • Helpful
    All Purpose Antibacterial Spray
    Spray liberlly on affected areas every 2 hours. Let dry. Antiseptic topical skin spray destroys harmful bacteria, soothes irritation, decreases inflammation and improves healing and regeneration of damaged skin tissues. Helps prevent skin infections caused by Staphylococcus aureus bacteria.

  • Antibacterial Skin Products
  • Antibiotic Supplement Products
  • Immune Supplement Products
  • Skin Care Supplement Products
  • Grapefruit Seed Herbal Products
  • Tea Tree Herbal Products
  • Goldenseal Herbal Products
  • Colloidal Silver Supplement Products
  • Colloidal Silver
    Apply topically as directed on label. A natural antibiotic. Destroys bacteria, viruses, and fungi. Protects against infection and promotes healing.

  • Colloidal Silver Supplement Products
  • Vitamin A
    50,000 IU daily for 1 month, the reduce to 15,000 IU. If you are pregnant, do not exceed 10,000 IU daily. Needed for healing of skin tissues. Use emulsion form for easier assimilation.

  • Vitamin A Supplement Products
  • Beta Carotene
    & Carotene Complex
    15,000 IU daily.
    As directed on label.
    Protects the lungs, improving breathing. Repairs bedsores by improving skin tissue.

  • Beta Carotene & Carotene Complex Supplement Products
  • Calcium
    & Magnesium
    Calcium: 2,000 mg daily.
    Magnesium: 1,000 mg daily.
    Needed for the central nervous system and to keep bones from softening through disuse.

  • Calcium Supplement Products
  • Magnesium Supplement Products
  • Garlic (Kyolic)
    2 Capsules 3 times daily, with meals. Has a natural antibiotic effect; protects against infection.

  • Garlic Herbal Products
  • Kelp
    500 to 1,000 mg daily. Provides necessary minerals

  • Kelp Herbal Products





  • NOTIFY YOUR HEALTH CARE PROVIDER

  • If you have questions about bedsores and therapies available.
  • If the condition does not clear up with treatment, see your health care provider. Severe cases may require medical attention.
  • Consult with your health care provider and an attorney if you suspect abuse and/or neglect in your care or the care of a family member. This is especially common in nursing homes and long care hospital facilities.


    For more information about care see: Bed Sores Description & Overview





    WOUND & SKIN CARE PRODUCTS

    Wound and skin care products for skin inflammation problems, wounds, cuts, sores, and general first aid. These products are to be used in addition to any other conventional medical care to reduce infection and to improve healing of tissues.

    WOUND & SKIN CARE PRODUCTS

  • Alive Multi-Nutrient Products
  • Aloe Vera Herbal Products
  • Antibacterial Skin Products
  • Antibiotic Supplement Products
  • Bee Propolis Supplement Products
  • Bees Wax Products
  • Borage Herbal Oil Products
  • Calendula Herbal Oil Products
  • Colloidal Silver Supplement Products
  • Garlic & Kyolic Garlic Herbal Products

  • Goldenseal Herbal Products
  • Grapefruit Seed Herbal Products
  • Immune Supplement Products
  • MSM Supplement Products
  • Patient Care Products
  • Skin Care Supplement Products
  • Tea Tree Herbal Products
  • Tea-Tree Essential Oil Products
  • Thyme Essential Oil Products
  • Vitamin E Supplement Products


  • QUALITY SUPPLIES & PRODUCTS


    FTC Advertising & Affilate Disclosure: This website has an affiliate relationship with certain merchants selling products and we recieve commissions from those sales to help support this website. Any products listed here are not listed by any rating system. We do not rate any product or post any feedback about products listed here. We leave this to the individual merchants to provide. We do not provide product prices or shopping carts since you do not order these products directly from us, but from the merchant providing the products. We only provide the link to that merchant webpage with all related product information and pricing. The products are listed here by merchant, product use, quantity size or volume, and for nutritional supplements - dosage per unit. All product descriptions are provided by the merchant or manufacturer and are not our descriptive review of the product. We do not endorse any specific product or attest to its effectiveness to treat any health condition or support nutritional requirements for any individual.


    ANTIBACTERIAL SKIN PRODUCTS

    AMAZON PRODUCTS

    Amazon: Antibacterial Personal & Health Care Products

    Sprays



    Soaps



    Creams, Ointments, Salves & Lotions



    Amazon has many more wound care products available. This is only a small listing of available products.

  • Skin Care Products



  • PATIENT CARE & BEDSORE PREVENTION PRODUCTS

    AMAZON PRODUCTS



    Amazon: Bed Sore Prevention Products






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    AROMATHERAPY: ESSENTIAL OILS DESCRIPTIONS & USES


    Allspice Leaf Oil
    Angelica Oil
    Anise Oil
    Baobab Oil
    Basil Oil
    Bay Laurel Oil
    Bay Oil
    Benzoin Oil
    Bergamot Oil
    Black Pepper Oil
    Chamomile (German) Oil
    Cajuput Oil
    Calamus Oil
    Camphor (White) Oil
    Caraway Oil
    Cardamom Oil
    Carrot Seed Oil
    Catnip Oil
    Cedarwood Oil
    Chamomile Oil
    Cinnamon Oil
    Citronella Oil
    Clary-Sage Oil
    Clove Oil
    Coriander Oil
    Cypress Oil
    Dill Oil
    Eucalyptus Oil
    Fennel Oil
    Fir Needle Oil
    Frankincense Oil
    Geranium Oil
    German Chamomile Oil
    Ginger Oil
    Grapefruit Oil
    Helichrysum Oil
    Hyssop Oil
    Iris-Root Oil
    Jasmine Oil
    Juniper Oil
    Labdanum Oil
    Lavender Oil
    Lemon-Balm Oil
    Lemongrass Oil
    Lemon Oil
    Lime Oil
    Longleaf-Pine Oil
    Mandarin Oil
    Marjoram Oil
    Mimosa Oil
    Myrrh Oil
    Myrtle Oil
    Neroli Oil
    Niaouli Oil
    Nutmeg Oil
    Orange Oil
    Oregano Oil
    Palmarosa Oil
    Patchouli Oil
    Peppermint Oil
    Peru-Balsam Oil
    Petitgrain Oil
    Pine-Long Leaf Oil
    Pine-Needle Oil
    Pine-Swiss Oil
    Rosemary Oil
    Rose Oil
    Rosewood Oil
    Sage Oil
    Sandalwood Oil
    Savory Oil
    Spearmint Oil
    Spikenard Oil
    Swiss-Pine Oil
    Tangerine Oil
    Tea-Tree Oil
    Thyme Oil
    Vanilla Oil
    Verbena Oil
    Vetiver Oil
    Violet Oil
    White-Camphor Oil
    Yarrow Oil
    Ylang-Ylang Oil
    Aromatherapy
    Healing Baths For Colds
    Aromatherapy
    Herbal Cleansers
    Using Essential Oils


    AROMATHERAPY: HERBAL & CARRIER OILS DESCRIPTIONS & USES


    Almond, Sweet Oil
    Apricot Kernel Oil
    Argan Oil
    Arnica Oil
    Avocado Oil
    Baobab Oil
    Black Cumin Oil
    Black Currant Oil
    Black Seed Oil
    Borage Seed Oil
    Calendula Oil
    Camelina Oil
    Castor Oil
    Coconut Oil
    Comfrey Oil
    Evening Primrose Oil
    Flaxseed Oil
    Grapeseed Oil
    Hazelnut Oil
    Hemp Seed Oil
    Jojoba Oil
    Kukui Nut Oil
    Macadamia Nut Oil
    Meadowfoam Seed Oil
    Mullein Oil
    Neem Oil
    Olive Oil
    Palm Oil
    Plantain Oil
    Plum Kernel Oil
    Poke Root Oil
    Pomegranate Seed Oil
    Pumpkin Seed Oil
    Rosehip Seed Oil
    Safflower Oil
    Sea Buckthorn Oil
    Sesame Seed Oil
    Shea Nut Oil
    Soybean Oil
    St. Johns Wort Oil
    Sunflower Oil
    Tamanu Oil
    Vitamin E Oil
    Wheat Germ Oil





    HELPFUL RELATED MOONDRAGON NUTRITION BASICS LINKS

  • MoonDragon's Nutrition Basics Index
  • MoonDragon's Nutrition Basics: Amino Acids Index
  • MoonDragon's Nutrition Basics: Antioxidants Index
  • MoonDragon's Nutrition Basics: Enzymes Information
  • MoonDragon's Nutrition Basics: Herbs Index
  • MoonDragon's Nutrition Basics: Homeopathics Index
  • MoonDragon's Nutrition Basics: Hydrosols Index
  • MoonDragon's Nutrition Basics: Minerals Index
  • MoonDragon's Nutrition Basics: Mineral Introduction
  • MoonDragon's Nutrition Basics: Dietary & Cosmetic Supplements Index
  • MoonDragon's Nutrition Basics: Dietary Supplements Introduction
  • MoonDragon's Nutrition Basics: Specialty Supplements
  • MoonDragon's Nutrition Basics: Vitamins Index
  • MoonDragon's Nutrition Basics: Vitamins Introduction


  • NUTRITION BASICS ARTICLES

  • MoonDragon's Nutrition Basics: 4 Basic Nutrients
  • MoonDragon's Nutrition Basics: Avoid Foods That Contain Additives & Artificial Ingredients
  • MoonDragon's Nutrition Basics: Is Aspartame A Safe Sugar Substitute?
  • MoonDragon's Nutrition Basics: Guidelines For Selecting & Preparing Foods
  • MoonDragon's Nutrition Basics: Foods That Destroy
  • MoonDragon's Nutrition Basics: Foods That Heal
  • MoonDragon's Nutrition Basics: The Micronutrients: Vitamins & Minerals
  • MoonDragon's Nutrition Basics: Avoid Overcooking Your Foods
  • MoonDragon's Nutrition Basics: Phytochemicals
  • MoonDragon's Nutrition Basics: Increase Your Consumption of Raw Produce
  • MoonDragon's Nutrition Basics: Limit Your Use of Salt
  • MoonDragon's Nutrition Basics: Use Proper Cooking Utensils
  • MoonDragon's Nutrition Basics: Choosing The Best Water & Types of Water





  • RELATED MOONDRAGON HEALTH LINKS & INFORMATION

  • MoonDragon's Nutrition Information Index
  • MoonDragon's Nutritional Therapy Index
  • MoonDragon's Nutritional Analysis Index
  • MoonDragon's Nutritional Diet Index
  • MoonDragon's Nutritional Recipe Index
  • MoonDragon's Nutrition Therapy: Preparing Produce for Juicing
  • MoonDragon's Nutrition Information: Food Additives Index
  • MoonDragon's Nutrition Information: Food Safety Links
  • MoonDragon's Aromatherapy Index
  • MoonDragon's Aromatherapy Articles
  • MoonDragon's Aromatherapy For Back Pain
  • MoonDragon's Aromatherapy For Labor & Birth
  • MoonDragon's Aromatherapy Blending Chart
  • MoonDragon's Aromatherapy Essential Oil Details
  • MoonDragon's Aromatherapy Links
  • MoonDragon's Aromatherapy For Miscarriage
  • MoonDragon's Aromatherapy For Post Partum
  • MoonDragon's Aromatherapy For Childbearing
  • MoonDragon's Aromatherapy For Problems in Pregnancy & Birthing
  • MoonDragon's Aromatherapy Chart of Essential Oils #1
  • MoonDragon's Aromatherapy Chart of Essential Oils #2
  • MoonDragon's Aromatherapy Tips
  • MoonDragon's Aromatherapy Uses
  • MoonDragon's Alternative Health Index
  • MoonDragon's Alternative Health Information Overview
  • MoonDragon's Alternative Health Therapy Index
  • MoonDragon's Alternative Health: Touch & Movement Therapies Index
  • MoonDragon's Alternative Health Therapy: Touch & Movement: Aromatherapy
  • MoonDragon's Alternative Therapy: Touch & Movement - Massage Therapy
  • MoonDragon's Alternative Health: Therapeutic Massage
  • MoonDragon's Holistic Health Links Page 1
  • MoonDragon's Holistic Health Links Page 2
  • MoonDragon's Health & Wellness: Nutrition Basics Index
  • MoonDragon's Health & Wellness: Therapy Index
  • MoonDragon's Health & Wellness: Massage Therapy
  • MoonDragon's Health & Wellness: Hydrotherapy
  • MoonDragon's Health & Wellness: Pain Control Therapy
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  • MoonDragon's Health & Wellness: Steam Inhalation Therapy
  • MoonDragon's Health & Wellness: Therapy - Herbal Oils Index







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