does cbd oil help for decubitus ulcer

Pressure Ulcers And Bed Sores: Prevention And Treatment

It can be easy to take your skin for granted—until it breaks down, leaving you more vulnerable to pain, infection and even necrosis (dead tissue). Pressure ulcers, also referred to as pressure sores, bed sores and decubitus ulcers, are forms of “pressure injuries,” common conditions that affect up to 30% of people living in nursing homes and up to 23% of hospitalized people [1] Raetz JGM, Wick KH. Common questions about pressure ulcers. American Family Physician. 2015;92(10):888-894. .

Just because you don’t see an ulcer doesn’t mean a pressure injury hasn’t occurred. In fact, skin and soft tissue are damaged before an ulcer appears. By recognizing pressure injuries early, you may be able to prevent ulceration. Here’s what you need to know.

Find Trusted Senior Caregivers On Care.com

Care.com helps you find local caregivers ready to help with meal prep, bathing, companionship, transportation, and more.

What Are Pressure Ulcers?

When you stay in a certain position in a bed or a chair for an extended period of time, the areas of your skin and soft tissue underneath it that are resting on the surface can become damaged. It can also occur with clothing or medical equipment that is resting or pushing on your skin. This damage is known as a pressure injury. When the skin and soft tissue underneath break down, leaving an open wound, a pressure ulcer is present.

“Skin is the largest organ of the body—and the most complex,” says Jeffrey M. Levine, M.D., associate clinical professor of geriatric medicine and palliative care at the Icahn School of Medicine at Mount Sinai in New York. “Its jobs are to regulate body temperature and water balance, take in information about your environment, protect against injury and infection, and support your endocrine system by producing vitamin D and processing sex hormon­es,” he says.

“The skin is adversely affected by aging, sunlight, exposure to chemicals, certain drugs (including corticosteroids), malnutrition and diseases like diabetes that affect the circulatory system,” he adds. “When people become immobile, physical forces like pressure, friction and shear can compromise circulation and cause damage to the skin.”

Who’s Most Likely to Get a Pressure Ulcer?

Pressure injuries and pressure ulcers are most common among people who are in the hospital or live in long-term care facilities, such as nursing homes and rehabilitation centers. As many as 200 factors can put a person at risk for pressure injuries and pressure ulcers, but some of the most common include [2] Bogie KM, Phil D, Zhang GQ, et al. Individualised clinical practice guidelines for pressure injury management: development of an integrated multi-modal biomedical information resource. JMIR Research Protocols. 2018;7:e10871. :

  • Limited mobility, such as that caused by a broken bone or a condition that causes paralysis
  • Poor circulation
  • Edema (swelling)
  • Poor health and nutrition
  • Exposure to moisture and/or acid (from sweat, urine or feces)
  • Advanced age
  • Cognitive impairment
  • Chronic conditions, such as heart disease and depression
  • Substance use disorder

Pressure Ulcer Symptoms

The symptoms of a pressure injury and pressure ulcer vary and depend on the extent of skin and tissue damage. They include:

  • A feeling of warmth or coolness in the skin
  • A feeling of tenderness
  • A feeling of firmness or softness compared to the surrounding area
  • A noticeable odor
  • Pain

“In general, pressure injuries cause pain and local discomfort,” says Dr. Levine. “Pain can be caused by changes in position needed to apply wound dressings and remove dressings that are sticking to the wound, and by the wound itself. Moisture or infection caused by fungus or bacteria can also cause discomfort.”

Some people may experience no pain at all, says Dr. Levine. “For example, people who are paralyzed may have a severe pressure injury but not feel it because of nerve damage.”

The 4 Stages of Pressure Ulcers

Healthcare providers diagnose and treat pressure injuries in several ways. One common system stems from the National Pressure Injury Advisory Panel (NPIAP), which describes four stages of pressure injury.

Stage 1
At this stage, a pressure injury may look like a patch of red or irritated skin. The person with the injury may notice the skin feels warmer or cooler or firmer or softer than the skin surrounding the irritated area. The irritation and redness are caused by small blood vessels in the area broken by pressure.

Stage 2
The skin may be blistered or appear broken in a stage 2 pressure injury. The wound is superficial with partial-thickness skin loss.

Stage 3
At this stage, an ulcer has developed, and there is an open wound that’s deeper compared to a stage 2 ulcer. Bone and muscle aren’t yet visible at this stage.

Stage 4
Bone and muscle can be seen in a stage 4 pressure injury. There may also be some necrotic (dead) tissue visible at this stage.

Common Pressure Ulcer Sites

Pressure injuries can happen anywhere on the body and can be caused by the body’s own weight or by pressure caused by medical equipment like a face mask or an oxygen tube. Some common places where pressure ulcers appear include:

  • Ears
  • Back of the head
  • Shoulders
  • Elbows
  • Buttocks
  • Hips
  • Heels
  • Tops of feet
  • Lower back

How to Prevent Pressure Ulcers

Many pressure injuries can be prevented with a team approach involving doctors, nurses, caregivers and patients themselves. Effective strategies include:

  • Managing or improving underlying conditions, such as diabetes and vascular problems that can cause slow healing and poor circulation.
  • Looking at and caring for the skin every day. Inspect the skin for signs of injury and use a pH-balanced cleanser and moisturizer as often as needed.
  • Repositioning the patient and their medical devices and clothing regularly to ensure no single part of the body is exposed to pressure for an extended period of time.
  • Improving nutritional status—the patient may benefit from a dietary supplement.

You May Also Be Interested In pH-balanced Moisturizers On Amazon

Best Treatments for Pressure Ulcers

It’s important to see a healthcare professional as soon as possible when you notice skin irritation or any other sign of a pressure injury. “In general, wound care needs to be supervised by a professional,” says Dr. Levine. “Wounds need to be assessed on a regular basis to recognize and document changes. They may get better, or they may get worse. Necrosis (dead tissue) or infection can develop, and blood tests or imaging tests may be necessary to inform future treatment.”

While basic dressing changes can be done at home by a family member or non-medical caregiver, care must be supervised by a professional. “There are many types of dressings, and they must be applied and removed correctly. Incorrect use of dressings can cause additional damage to the wound and surrounding skin,” says Dr. Levine.

Finally, it’s important to remember other aspects of treatment and prevention may require a professional. “Pressure redistribution, continence care, nutrition and mobilization also need to be addressed,” says Dr. Levine.

Benefits of Hemp Oil in Skincare Now Showcased at UnitedPatientsGroup.com

Hemp Hemp Hooray products—the premier all-natural organic hemp oil beauty products imported from Australia—are perfect for acne-prone skin, eczema, psoriasis, shingles and bed sores.

Hemp Hemp Hooray Hemp Oil Skin Care Line

San Francisco, CA (PRWEB) April 20, 2013

Medical marijuana patient resource website UnitedPatientsGroup.com is helping show the world that hemp is good medicine. In partnership with Australian skincare pioneer Hemp Hemp Hooray, United Patients Group is working to teach the world about the nourishing and restorative powers of hemp seed oil.

Hemp Hemp Hooray helps acne-prone skin; dry, cracked, damaged skin, in addition to eczema, psoriasis, shingles and bed sores. Formulated with organic hemp seed oil, vegetable oils, butters, and essential oils, Hemp Hemp Hooray products offer all eco- and health-conscious consumers natural solutions to common skin conditions.

“Hemp is a natural beauty product that refreshes, repairs, and even restores skin,” said John Malanca, owner of United Patients Group. “I have heard and read so many rave reviews about the Hemp Hemp Hooray skin care line, that when the opportunity arose to work with them, I couldn’t resist. Teaming up with Hemp Hemp Hooray has given us the opportunity to learn more about hemp skin care and wellness products. We are proud to offer such a quality product line to our patients.”

A customer who goes by Jess recently wrote to Hemp Hemp Hooray, stating: “I am 30 years old and have suffered with acne since I was 12. Your products are truly amazing. It's the only product that has ever truly benefited my skin, and I am now blemish-free. It’s all due to your cream cleanser and Skin Soothe products.”

Sandi Smyth wrote, “I have been using Skin Soothe on my little grandson's tender skin. It was wonderfully effective reducing the inflammation in his eczema.”

UnitedPatientsGroup.com is currently promoting the following products:

SKIN SOOTHE
Containing organic hemp seed oil, witch hazel floral water, myrrh tincture, and essential oils, Skin Soothe’s antioxidant, astringent, anti-bacterial, and anti-fungal properties help heal wounds and reduce redness and itching.

Skin Soothe is a versatile topical skin cream that can be used on skin that is prone to eczema, psoriasis, rashes, and acne. It works nicely as a calming aftershave, and its effectiveness as a treatment for minor burns, cuts, abrasions, and insect bites making it a perfect addition to first-aid kits.

DAILY MOISTURIZER
Organically grown, pure hemp seed oil, almond oil, shea butter, and cocoa butter are cradled in a base of rose floral water to create a lightly textured moisturizer that gently feeds the skin and nurtures the spirit. Daily Moisturizer can be used under makeup or applied anytime of the day when skin needs quick re-hydration.

NIGHT CREAM
Organic hemp seed oil, shea butter, avocado and apricot kernel oils have been carefully combined with essential oils of jasmine, frankincense, and palmarosa to create this very popular cream that brings fast relief to dry and sun-damaged skin.

Jasmine is suitable for all skin types including dry, greasy, irritated, and sensitive. Frankincense is ideal for older, mature skin types; it has a tonic effect that is said to help restore tone and elasticity to aging, slack facial skin. Palmarosa stimulates cellular regeneration while hydrating and helping to balance sebum (oil) production of the skin.

PRECIOUS EYE EMULSION
Cypress and fennel reduce fluid retention and puffiness around the eyes, while carrot oil works to reduce the appearance of fine lines. Combined with the soothing properties of chamomile and aloe vera in a moisture-rich base of hemp seed oil and shea butter, this light, penetrating emulsion soothes, protects, and helps restore tone and elasticity to skin.

Precious Eye Emulsion is excellent both in the morning and at night after removing eye makeup to refresh and revitalize.

BODY LOTION
A nurturing blend of organic hemp oil, jojoba, apricot kernel oil, shea and cocoa butters—combined with the sensual delights of organic patchouli, geranium, and lavender oils—nourishes the body and balances the spirit. The essential oils in this blend hold restorative, tonic, rejuvenating, and uplifting properties.

CLEANSING CREAM
Suitable for all skin types—especially acne-prone or sensitive skin—this cleansing cream won’t sting, making it great for removing eye makeup. Simply dampen the face, massage cleanser in a circular motion around the eyes and face, and wash off with warm water and a soft cloth. Organic lime and chamomile delight skin with a refreshing tingle.

ULTIMATE FACE OIL
EFA rich, light-penetrating hemp seed oil replaces lost moisture to gently feed the skin. Essential oils of black pepper and ylang ylang help boost circulation to the supportive tissues underneath the skin. This helps remove toxins and leaves skin looking fresher and firmer. Perfect for nightly use or as a serum before applying moisturizer.

SPECIAL BODY BLEND
Massage this special blend of organic oils into tired, aching muscles and joints, or use it as an all-over body blend to relax and unwind. Contains hemp seed oil, sweet almond oil, pure apricot kernel oil, certified-organic jojoba oil, natural non-GMO vitamin E, and certified-organic essential oils of lavender, chamomile, marjoram, bergamot, and cypress.

BLOSSOM BLEND
A blend of organic hemp seed oil, sweet almond oil, organic jojoba and avocado oils, and essential oils of bergamot, lemon, and ylang ylang uplift, de-stress, and nurture mothers-to-be.

For more information about United Patients Group call (415) 524-8099 or visit UnitedPatientsGroup.com.

The best way to stay informed about developments is to “like” United Patients Group on Facebook and “follow” Untied Patients Group on Twitter.

UnitedPatientsGroup.com is a discreet, safe, and professional online medical cannabis information resource for prospective and current patients, caregivers, and medicinal cannabis industry professionals.

While most online medical marijuana sites cater to patients already familiar with medical marijuana, the UnitedPatientsGroup.com website is a comprehensive and easy-to-use information source for people of all ages and experience levels, from novice medical cannabis users to experienced industry professionals. The site’s News, Resource, and Blog pages introduce new patients to the ins and outs of medical marijuana healthcare, while helping experienced providers stay abreast of the latest developments in CBD therapies.

A complimentary Five Star-rated United Patients Group medical marijuana app is now available on the iTunes app store for iPhone 3GS, iPhone 4, iPhone 4S, iPhone 5, iPod touch (3rd generation), iPod touch (4th generation) and any iPad.