The old man in bed has bedsores. What should I do if my high fever persists?

Evaluation of risk factors is the key to prevent bedsore. At present, there are five reference scores in common evaluation methods. Using an effective scoring method can help people find the high-risk group of bedsore, which needs timely treatment and measures. Experience has proved that adhering to grading score is of positive significance to predict the risk cases of pressure ulcers in the elderly and the development and deterioration of pressure ulcers. ? It is not impossible to prevent bedsores as much as possible. Focusing on the care and treatment of people with multiple main risk factors can make the limited medical resources reasonably allocated and improve the prevention rate of bedsore as a whole, which is not only beneficial to people, but also can reduce the occurrence of medical disputes. ? Rooms should be kept ventilated and clean. Wet mop the floor with disinfectant 1~2 times a day, and disinfect the floor with air 1 time, each time 1 hour. The bed should be soft and clean, and an air cushion bed should be added on the mattress to keep it flat and comfortable. Psychological nursing and health education? Do a good job of targeted psychological counseling, scientifically explain and guide the psychological state, and use the methods of comfort, encouragement and suggestion to feel comfortable, which is conducive to stimulating appetite, improving the body's resistance, strengthening the recovery of bedsore and reducing complications.

Dietary care (supplementing enough calories and vitamins); Encourage patients to eat more vegetables, chicken, fish, meat and fruits according to their eating habits. At the same time, fat emulsion, plasma, albumin and compound amino acids were infused regularly to improve plasma protein and colloid osmotic pressure. ?

Treatment and protection of wounds Before nursing bedsore wounds, the size, location, stages and appearance of ulcers (granulation tissue necrosis, decay and exudation) should be detected, and then mechanical debridement, chemical debridement or self-infiltration debridement should be adopted according to the wound conditions. After washing the wound with hydrogen peroxide and salt water, the necrotic tissue and foreign bodies are removed, and ultraviolet irradiation can achieve the purpose of reducing infection and promoting healing. It is very important to protect the wound when it is covered with granulation tissue and the surrounding tissue grows to the edge of granulation. Keeping the wound moist is beneficial to the vigorous growth of granulation tissue. During the ultraviolet treatment, the dressing was changed every 8 8~ 10/hour/time for 3~4 days, and then ultraviolet irradiation was carried out. The wound was obviously reduced in 7~ 14 days. After dressing change, ultraviolet rays were irradiated 1 time every day until the wound healed. ?

This paper discusses that bedsore is a pressure sore caused by long-term compression of local tissue, blood circulation disorder, persistent ischemia, hypoxia and malnutrition, which leads to tissue necrosis. Because infected bacteria are not sensitive to commonly used antibiotics, it is difficult to cure. In the process of treating bedsore, it is very important to relieve the pressure on the wound surface first. We used ultraviolet radiation and exposure therapy after dressing change to treat bedsore, and the results showed that the method had good effect. Its mechanism of action is as follows: ① Ultraviolet rays can inhibit the growth of sterilization bacteria, destroy the nucleic acid metabolism of bacteria and kill them, so it can effectively kill bacteria propagating on the surface of bedsore, eliminate infection and promote wound recovery. ② Ultraviolet rays have anti-inflammatory effect, and ultraviolet erythema is a special reaction of skin to ultraviolet rays. Due to the action of histamine and histamine-like substances, the blood and lymphatic circulation are strengthened, the function of reticuloendothelial system is enhanced, the phagocytosis of cells is enhanced, the local skin temperature is raised, the pH value tends to be alkaline, and the metabolism is vigorous. These inflammatory reactions enhance the body's defense ability. Epithelial tissue grows faster, keratinized layer thickens and pigmentation occurs under the action of stimulating growth factors released by human body. Improve skin defense ability. The healing time of ultraviolet treatment group is shorter than that of control group, mainly because of effective antibacterial effect, which can reduce the inflammatory reaction and secretion of wound surface, thus promoting wound healing. The current treatment is more inclined to ultraviolet therapy.

High-tech personnel have successfully developed Jinxing brand ZZ-2 ultraviolet therapeutic instrument suitable for home use. ZZ-2 ultraviolet therapeutic instrument adopts advanced electronic circuit, which is reliably matched with quartz lamp, a special cold light source. It uses ultraviolet wave with special wavelength to release light quantum to irradiate human body, and uses physical therapy to achieve the purpose of preventing and treating diseases. This product has the characteristics of reliable performance, small size, light weight, convenient use, reasonable price and multifunction. It is mainly used to treat various intractable and multiple dermatoses, and at the same time, it is disinfected and sterilized.

Product characteristics

Safe and reliable: Everyone knows that "the three drugs are toxic", and it has been proved by medicine that the faster the drugs take effect, the greater the side effects. "Jinxing" brand ultraviolet therapeutic instrument is a medical instrument which uses high-tech means to artificially generate cold light source electric waves (medically called anti-inflammatory rays), and has strong anti-inflammatory, bactericidal and analgesic effects. For common skin diseases, various infectious inflammations and traumatic infections in daily life, postoperative anti-inflammation can achieve the effect of relieving pain with little or no drugs, and the most valuable thing is that there are no side effects.