By: Judy Greenwood, Esq and Stephen Ulan, Esq., Law Offices of Judy Greenwood, PC
Though we know this to be called a “Bedsore”, medically speaking we are talking about “pressure ulcers” or decubitus ulcers. These are localized injuries to the skin and the underlying tissues, typically over bony areas that protrude, which occur from prolonged pressure, sometimes in combination with friction or shear. Bedsores are most often seen in patients who have limited movement whether due to getting old, or from underlying medical conditions, and nutritional deficiencies. Pressure ulcers are commonly seen in nursing homes or in rehabilitation centers, but may occur in hospitals as well.
Statistically approximately 70% of all “pressure ulcers” have been reported to occur in patients who are over 65, which explains why these very often occur in nursing homes. These ulcers can develop rapidly, and can cause significant harm in patients who are elderly, immunocompromised or who suffer from underlying co-morbidities, leading to premature death.
Preventing “bedsores” from developing in the first place, is a key to avoiding the serious effects of a pressure sore. It is a key responsibility of nursing home staff, rehabilitation center staff, and nurses to take steps to prevent a pressure sore from developing. Key measures that can be taken include:
1. Regular skin assessments to identify any early signs of a pressure ulcer.
2. Implementing a turning schedule, for residents or patients to be turned once every 2 hours.
3. Using specialized mattresses (air mattresses) and cushions to provide additional support and re-distribute the pressure.
4. Hydration and nutritional support to help with skin integrity
5. Adequately trained nursing staff with knowledge regarding the prevention and management of pressure sores.
Once a pressure sore develops it is crucial that there be prompt and effective treatment. This may include wound care, with cleaning, debridement, dressings and other measures, to promote healing and avoid the worsening of the condition. Wound vacs and skin substitutes may also be used where appropriate.
Failure to prevent and/or promptly treat a bedsore can be viewed as negligence or neglect, and may serve as the basis for legal action against the hospital, nursing home, or rehabilitation center where the development of the bedsore occurred. It is best to be vigilant and prevent an issue, but if you or someone you know is in a nursing home, rehabilitation center, or a hospital and has suffered a “bedsore”, particularly one that was not promptly recognized and treated, you should call an attorney experienced in handling medical negligence and nursing home neglect cases, for a free consultation to discuss whether or not there is a basis for a claim.
