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Maine127 Asked November 2022

Should we be overly concerned about the development of a pressure sore on hip?

Long story short she’s been sleeping alot more than in the past and just recently developed a pressure sore on her hip. The NH noticed it and started to treat immediately and are also changing her mattress and taking a few other measures but are concerned of what could develop
We have a meeting with the DON on Tuesday so hoping for the best

JoAnn29 Nov 2022
Willie mentioned a "red spot". This is the first sign and should be questioned. My daughter was an LPN when my Dad was in Rehab. She was sick so did not get into see him for 4 days. In that 4 days, Dad got blisters on his heels. Mom brought them to the Nurses attn and they started treating and bandaging them. I was there when my daughter came in to visit. Told her about the blisters. She read Dads chart, looked at the blisters and marched out to talk to the DON.

Seems it was noted Dad had pressure points on his heels when admitted. Right then an air mattress should have been ordered. The blisters were showing signs of dead tissue, not good. He was diabetic too. The DON agreed my daughter was correct and Dad got his mattress and someone checked on his heels until he left Rehab. They were healed by then.

We learn by experience. If something doesn't seem right, it probably isn't. Me, I am lucky I have a now RN in the family I can call.

BurntCaregiver Nov 2022
There's no such thing as being overly concerned about pressure sores.
Every pressure sore is serious and you need to stay on top of the nursing home day and night about it. The DON should have had your mother using a pressure relieving mattress the very day she became at risk for pressure sores. You don't wait until one develops.
Tell her this at that meeting on Tuesday. Then tell her you want a wound care specialist brought in. They'll do it. Make sure you see the pressure sore too. Don't take their word for it.

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AnnReid Nov 2022
Educate yourself as much as you possibly can with the science of this.

My LO has had numerous pressure sores since last January, and continues to develop new ones.

She only seems to be uncomfortable when the lesions are cleansed and treated.

She is eating, drinking chocolate milk and Ensure +, seems to pay attention at times to what I say to her, and watches as I move from one side of her bed to the other.

As she did when she was well, she’s living on her own schedule.

She’s been on in hospice care since Spring 2021.

Any estimates of ANYTHING in situations like hers, are really just good guesses.

Hope you continue to be content with the continuing course of your LO’s care.

In accordance with her documented requests for final care, I agreed months ago that the wounds NOT be surgically treated, and they haven’t been, and she remains peaceful.

Please try to be very careful when you’re “hoping for the best”. I had no idea what that meant when the first pressure sore developed all those months ago.

My best to you and your family.

Maine127 Nov 2022
Thanks all. The nurse in charge said it was stage 1 from what she could tell and was having checked by the physician asst tomorrow. She said it was in her hip area and guess they’ve been watching her because she seems to always end up sleeping on her left side which is where the pressure sore developed.
cwillie Nov 2022
The same thing happened to my mother when she was still living with me, I was still too inexperienced to know about such things and it was an alert PSW who noticed the red spot when giving her bath. Apart from spending more time in bed very often they no longer make the little movements we all make during our sleep. That they noticed so quickly and informed you is a good thing!
CaregiverL Nov 2022
what stage sore? clean it 2X day & put antibiotic cream & colloidal pad & it will get better.
Hugs 🤗

JoAnn29 Nov 2022
This should be seen by a woundcare RN. My daughter is one. They look out for any dead tissue that may form.

cwillie Nov 2022
They can crop up quickly, do you know what stage it is? Unless it has advanced beyond early stages they seem to be on top of it and are taking appropriate measures.

funkygrandma59 Nov 2022
Any pressure sore should be treated immediately as it could otherwise lead to infection and even sepsis, and sometimes death, so it's a good thing that the NH is on top of things.

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