Figyeljünk oda a bőr védelmére

Szemlézte: Pöltz Ágnes

2020.07.18. 09:00

Gondoskodás

forrás: Alzheimer Ireland

Nyomási fekély (decubitus, felfekvés) alatt azokat a bőrsérüléseket értjük, amikor egy adott testtájékra hosszabb időn keresztül olyan nyomás nehezedik, ami lecsökkenti vagy teljesen megakadályozza a terület vérellátását. Ha vörös foltokat veszünk észre a demenciával élő szerettünk testén, ami nem múlik el pár óra alatt, elképzelhető, hogy nyomási fekélyről van szó. A keveset mozgó, idős emberek különösen ki vannak téve kialakulásuknak.

A személyes gondoskodás során az öltözködés, mosakodás alkalmával mindenképp figyeljünk a fenti jelekre. Akkor is érdemes átvizsgálni hozzátartozónk testét, ha viselkedésével  fájdalomról, kényelmetlenségről tesz tanúbizonyságot, vagy ezekről panaszkodik. 

Javaslatok személyes gondoskodást nyújtóknak:

    • Igyekezzünk egészséges, kiegyensúlyozott táplálkozást biztosítani a demenciával élő betegnek. A megfelelő tápanyagellátás a bőrt is segíti védekezni a külső behatások ellen.

    • Segítsünk szerettünknek rendszeresen mozogni. A fizikai aktivitás a vérkeringés fokozása révén segít a nyomási fekélyek megelőzésében.

    • Ha a demens beteg inkontinens (vizelet- vagy székletvisszatartási nehézségei vannak), sose hagyjuk hosszan a nedves ruháiban vagy az átnedvesedett ágyban. Ha a vizelet hosszabb időn keresztül érintkezik a bőrrel, nagyban csökkenti a bőr ellenállását a sebek kialakulásával szemben.

    • Kerüljük a szűk ruházatot, kiváltképp a lábaknál.

    • A nyomási fekélyek kialakulásának kedvez a szélsőséges meleg és nedvesség, ezért próbáljuk megakadályozni, hogy a demenciával élő személy túlzottan izzadjon vagy kimelegedjen.

    • Minden mosakodás után alaposan szárítsuk meg a bőrt, különösképp odafigyelve a bőrredőkre. Dörzsölés helyett finoman itassuk fel a törölközővel a vizet.

    • A kipirosodott bőrt soha ne dörzsöljük vagy masszírozzuk, ezzel ugyanis tovább ronthatunk a problémán.

    • Kérjük meg a demens beteget, hogy időnként váltson ülőhelyzetet vagy forgassuk őt fektében.


Az időben felfedezett nyomási fekély könnyen kezelhető, azonban ha súlyosra fordul, igen komoly helyzet alakulhat ki. Feltétlenül forduljunk tehát orvoshoz már az első jelek megjelenésekor!

 

NYOMKÖVETÉS(string) «https://work1.felejtek.hu» (string) «{modul:wd_article}» INCLUDE MODUL: felejtek_meta CALL: Andrea\Plugins\Felejtek\Felejtek::modul_felejtek_meta (0.0011 mp) INCLUDE MODUL: jsonld CALL: Andrea\Plugins\JsonLD\JsonLD::modul_json_ld (0.0000 mp) INCLUDE MODUL: owm_daily_mobile MISSED CALL (owm_daily_mobile). INCLUDE MODUL: felejtek_menu:1 CALL: Andrea\Plugins\Felejtek\Felejtek::modul_felejtek_menu (0.0268 mp) INCLUDE MODUL: wd_article CALL: Andrea\Plugins\Webdoki\MagazineArticle::modul_wd_article (0.0012 mp) INCLUDE MODUL: felejtek_box:250 CALL: Andrea\Plugins\Felejtek\Felejtek::modul_felejtek_box (0.0003 mp) INCLUDE MODUL: felejtek_box:248 CALL: Andrea\Plugins\Felejtek\Felejtek::modul_felejtek_box (0.0003 mp) INCLUDE MODUL: basemenu CALL: Andrea\Core\PageList::modul_basemenu (0.0008 mp) INCLUDE MODUL: comments MISSED CALL (comments). INCLUDE MODUL: felejtek_related_articles CALL: Andrea\Plugins\Felejtek\Felejtek::modul_felejtek_related_articles (0.0000 mp) INCLUDE MODUL: felejtek_suggested_articles CALL: Andrea\Plugins\Felejtek\Felejtek::modul_felejtek_suggested_articles (0.0010 mp)
MUNKAMENET VÁLTOZÓarray ( 'SID' => 'cd69b1f8399b5c24d65bf7ec2e536abf', 'user' => 'O:16:"Andrea\Core\User":5:{s:13:"inner_modules";a:0:{}s:8:"template";s:0:"";s:5:"items";N;s:8:"' . "{debug_info}" . '*' . "{debug_info}" . 'props";a:4:{s:7:"message";s:0:"";s:10:"user_group";O:21:"Andrea\Core\UserGroup":4:{s:13:"inner_modules";a:0:{}s:8:"template";N;s:5:"items";N;s:8:"' . "{debug_info}" . '*' . "{debug_info}" . 'props";a:0:{}}s:15:"registered_date";s:0:"";s:8:"topic_id";a:0:{}}s:8:"login_ok";b:0;}', 'lang' => 'hu', 'currency' => 'huf', 'template_path' => '/templates/felejtek2023', 'a' => 'cikk', 'p' => '1', 'article' => 590, )
KIKÜLDÖTT SQL KÉRÉSEKPDO connected to localhost. SET SESSION `character_set_client` = 'utf8' (0 sor: 0.0002 mp/0.0002 mp) SET SESSION `character_set_connection` = 'utf8' (0 sor: 0.0001 mp/0.0002 mp) SET SESSION `character_set_database` = 'utf8' (0 sor: 0.0001 mp/0.0003 mp) SET SESSION `character_set_filesystem` = 'utf8' (0 sor: 0.0001 mp/0.0004 mp) SET SESSION `character_set_results` = 'utf8' (0 sor: 0.0001 mp/0.0004 mp) SET SESSION `character_set_server` = 'utf8' (0 sor: 0.0001 mp/0.0005 mp) SET SESSION `collation_connection` = 'utf8_hungarian_ci' (0 sor: 0.0001 mp/0.0006 mp) SET SESSION `collation_database` = 'utf8_hungarian_ci' (0 sor: 0.0001 mp/0.0006 mp) SET SESSION `collation_server` = 'utf8_hungarian_ci' (0 sor: 0.0000 mp/0.0007 mp) SET SESSION `group_concat_max_len` = 1024 (0 sor: 0.0001 mp/0.0007 mp) SELECT * FROM `alz_core_plugin` WHERE `domain_id` = ? AND `option_active`=1 ORDER BY `depend_nums` ASC (9 sor: 0.0004 mp/0.0011 mp) SELECT `name`,`value` FROM `alz_core_param` WHERE domain_id = ? (18 sor: 0.0002 mp/0.0014 mp) SELECT `name`,`value` FROM `alz_core_lang` WHERE domain_id = ? (34 sor: 0.0001 mp/0.0015 mp) SELECT id FROM alz_core_page WHERE domain_id = ? AND permalink = ? (0 sor: 0.0002 mp/0.0017 mp) SELECT `theme_id` FROM `alz_core_domain` WHERE `id`=1 (1 sor: 0.0001 mp/0.0018 mp) SELECT * FROM `alz_core_theme` WHERE (`id`=2) LIMIT 1 (1 sor: 0.0001 mp/0.0019 mp) SELECT * FROM `alz_mag_topic` ORDER BY option_status DESC,`id` ASC (4 sor: 0.0001 mp/0.0020 mp) SELECT * FROM `alz_mag_article` WHERE (`id`=590) LIMIT 1 (1 sor: 0.0001 mp/0.0021 mp) SELECT id FROM `alz_mag_topic` WHERE parent_id = '2' (0 sor: 0.0001 mp/0.0022 mp) SELECT GROUP_CONCAT(keyword) FROM alz_mag_article_keyword WHERE mag_article_id = '590' GROUP BY mag_article_id (0 sor: 0.0002 mp/0.0024 mp) SELECT permalink FROM alz_mag_category WHERE id = '4' (1 sor: 0.0001 mp/0.0025 mp) SELECT * FROM alz_mag_category WHERE id IN (4) ORDER BY title (1 sor: 0.0001 mp/0.0026 mp) SELECT * FROM `alz_core_page` WHERE (`id`=1) LIMIT 1 (1 sor: 0.0001 mp/0.0027 mp) SELECT pageview FROM alz_mag_article_pageview WHERE domain_id = '1' AND mag_article_id = '590' (1 sor: 0.0002 mp/0.0029 mp) UPDATE alz_mag_article_pageview SET pageview = pageview + 1 WHERE domain_id = ? AND mag_article_id = ? (1 sor: 0.0019 mp/0.0048 mp) SELECT * FROM `alz_mag_article` WHERE (`id`=590) LIMIT 1 (1 sor: 0.0002 mp/0.0049 mp) SELECT id FROM `alz_mag_topic` WHERE parent_id = '2' (0 sor: 0.0001 mp/0.0050 mp) SELECT GROUP_CONCAT(keyword) FROM alz_mag_article_keyword WHERE mag_article_id = '590' GROUP BY mag_article_id (0 sor: 0.0002 mp/0.0052 mp) SELECT permalink FROM alz_mag_category WHERE id = '4' (1 sor: 0.0001 mp/0.0053 mp) SELECT * FROM alz_mag_category WHERE id IN (4) ORDER BY title (1 sor: 0.0001 mp/0.0054 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (8 sor: 0.0002 mp/0.0056 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=270) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0001 mp/0.0058 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=257) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0060 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=108) AND ((option_submenu=1) OR (option_mainmenu=1)) (8 sor: 0.0003 mp/0.0063 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=145) AND ((option_submenu=1) OR (option_mainmenu=1)) (10 sor: 0.0003 mp/0.0065 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=165) AND ((option_submenu=1) OR (option_mainmenu=1)) (12 sor: 0.0003 mp/0.0068 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=202) AND ((option_submenu=1) OR (option_mainmenu=1)) (17 sor: 0.0004 mp/0.0072 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=248) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0074 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=250) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0076 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (0 sor: 0.0002 mp/0.0078 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (0 sor: 0.0002 mp/0.0080 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (8 sor: 0.0003 mp/0.0083 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=109) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0085 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=110) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0087 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=111) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0090 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=112) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0092 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=113) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0093 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=136) AND ((option_submenu=1) OR (option_mainmenu=1)) (4 sor: 0.0002 mp/0.0096 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=114) AND ((option_submenu=1) OR (option_mainmenu=1)) (6 sor: 0.0003 mp/0.0099 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=267) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0101 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (10 sor: 0.0003 mp/0.0104 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=146) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0106 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=147) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0108 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=148) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0110 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=149) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0112 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=116) AND ((option_submenu=1) OR (option_mainmenu=1)) (1 sor: 0.0002 mp/0.0114 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=150) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0116 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=151) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0118 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=152) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0120 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=153) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0122 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=266) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0124 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (12 sor: 0.0004 mp/0.0128 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=166) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0130 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=167) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0132 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=168) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0133 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=169) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0135 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=226) AND ((option_submenu=1) OR (option_mainmenu=1)) (6 sor: 0.0002 mp/0.0137 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=140) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0139 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=242) AND ((option_submenu=1) OR (option_mainmenu=1)) (5 sor: 0.0003 mp/0.0142 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=193) AND ((option_submenu=1) OR (option_mainmenu=1)) (6 sor: 0.0002 mp/0.0144 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=142) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0146 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=144) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0148 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=239) AND ((option_submenu=1) OR (option_mainmenu=1)) (1 sor: 0.0003 mp/0.0151 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=268) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0153 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (17 sor: 0.0004 mp/0.0157 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=203) AND ((option_submenu=1) OR (option_mainmenu=1)) (3 sor: 0.0002 mp/0.0159 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=172) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0161 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=207) AND ((option_submenu=1) OR (option_mainmenu=1)) (4 sor: 0.0002 mp/0.0163 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=171) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0165 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=173) AND ((option_submenu=1) OR (option_mainmenu=1)) (4 sor: 0.0002 mp/0.0167 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=212) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0169 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=178) AND ((option_submenu=1) OR (option_mainmenu=1)) (6 sor: 0.0002 mp/0.0171 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=221) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0173 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=265) AND ((option_submenu=1) OR (option_mainmenu=1)) (3 sor: 0.0002 mp/0.0176 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=222) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0177 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=216) AND ((option_submenu=1) OR (option_mainmenu=1)) (3 sor: 0.0002 mp/0.0180 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=200) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0182 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=224) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0003 mp/0.0184 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=143) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0186 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=225) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0188 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=201) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0190 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=269) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0.0002 mp/0.0193 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (0 sor: 0.0003 mp/0.0196 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (0 sor: 0.0002 mp/0.0198 mp) SELECT * FROM `alz_mag_article` WHERE (`id`=590) LIMIT 1 (1 sor: 0.0002 mp/0.0200 mp) SELECT id FROM `alz_mag_topic` WHERE parent_id = '2' (0 sor: 0.0001 mp/0.0201 mp) SELECT GROUP_CONCAT(keyword) FROM alz_mag_article_keyword WHERE mag_article_id = '590' GROUP BY mag_article_id (0 sor: 0.0002 mp/0.0203 mp) SELECT permalink FROM alz_mag_category WHERE id = '4' (1 sor: 0.0001 mp/0.0205 mp) SELECT * FROM alz_mag_category WHERE id IN (4) ORDER BY title (1 sor: 0.0001 mp/0.0206 mp) SELECT * FROM `alz_core_page` WHERE (`id`=250) LIMIT 1 (1 sor: 0.0001 mp/0.0207 mp) SELECT * FROM `alz_core_page` WHERE (`id`=248) LIMIT 1 (1 sor: 0.0001 mp/0.0209 mp) SELECT * FROM `alz_core_page` WHERE domain_id = ? AND (`option_basemenu`=1) ORDER BY `bearing` DESC,`title` ASC (4 sor: 0.0003 mp/0.0212 mp) SELECT SQL_CALC_FOUND_ROWS * FROM alz_mag_article WHERE option_status = 'published' AND date_publish > 0 AND option_suggest = 1 ORDER BY date_publish DESC LIMIT 0,5 (0 sor: 0.0010 mp/0.0222 mp)
FUTÁSI IDŐKSQL: 0.0222 mp Oldal: 0.2386 mp Andrea\Core\Site.generate(): 0.2303 mp Andrea\Core\Site.show(): 0.2326 mp