Bedsore

About Bedsore at Kayakriti

Bedsores, or pressure ulcers, are wounds caused by prolonged pressure on the skin and underlying tissues, often over bony prominences. They are most common in patients with paralysis, post-traumatic immobilisation, ICU admissions, ventilator dependence, fractures, or advanced age. Pressure sore treatment at Kayakriti begins with a careful assessment of the wound, the patient's general condition, and the practical home environment in which long-term care will take place.

Common locations include the sacrum, ischium, and trochanters, with additional vulnerability at the heel, elbow, malleolus, knee, scapula, and occiput. Risk factors include immobility, poor nutrition, incontinence, diabetes, and impaired sensation. Wound care treatment classifies bedsores by depth, from superficial reddening of intact skin in early stages to full-thickness loss involving muscle and bone in advanced disease, and matches treatment to severity.

Dr. Amit Agarwal evaluates the underlying cause alongside the wound itself. Neurological referrals are arranged where indicated, diabetes is optimised with physician input, and nutrition is improved with a target serum albumin of more than 2.8 g/dL. Pus discharge is sent for culture and sensitivity to guide appropriate antibiotics. Where bone infection is suspected, digital X-rays of the affected area help with chronic wound management decisions about surgery.

Category I and II ulcers are often managed without admission, with structured dressings and home-care education when other conditions are stable. Category III and IV ulcers usually require hospital admission, multidisciplinary clearance, and surgical correction with debridement, negative pressure therapy, or flap coverage as appropriate. We discuss realistic timelines, the role of position changes and pressure-relieving mattresses, and the importance of long-term follow-up to prevent recurrence.

What people in Lucknow ask us about: pressure sore treatment · wound care treatment · chronic wound management