J Korean Med Assoc.  2021 Jan;64(1):26-33. 10.5124/jkma.2021.64.1.26.

Non-surgical treatment for pressure ulcer

• Jeong HS

• KMID: 2510606
• DOI: http://doi.org/10.5124/jkma.2021.64.1.26

Abstract

Pressure, friction, shear force, and micromoisture can cause pressure ulcer. With the increase of the elderly population in Korea, the number of decubitus pressure ulcer patients is increasing due to worsening medical conditions by aging. In the case of quadriplegic and hemiplegic patients, there is considerable interest in the prevention and self-treatment of pressure ulcer following daily life recovery through rehabilitation. It is important to recognize that pressure ulcer can sometimes be avoided and can sometimes occur inevitably, and that preventive measures should be put in place. For the improvement of pressure ulcer, the patient’s systemic condition and the understanding of indications for local treatment should be improved. Recently, guidelines for dressing formulations related to exudate absorption capacity were introduced. For the successful treatment of pressure ulcer, adequate support of nutrition, control of stiffness, prevention of bacterial bioburden, removal of dead tissue (debridement), moisturizing of the skin, and selection of appropriate dressing materials should be applied comprehensively for individual patients.

Keyword

Pressure ulcer; Treatment; Biologic dressings; Occlusive dressings; Negative pressure wound therapy