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Pressure ulcersPPressure ulcersPressure ulcersEnglishDermatologyChild (0-12 years);Teen (13-18 years)SkinSkinConditions and diseasesCaregivers Adult (19+)NA2013-08-26T04:00:00Z6.0000000000000075.6000000000000638.000000000000Health (A-Z) - ConditionsHealth A-Z<p>Learn about pressure ulcers, who is at risk and how to prevent them.</p><h2>What are pressure ulcers?</h2><p>Pressure ulcers are sores that are a result of constant pressure on your child's skin. Pressure can cause damage many layers of skin. Pressure ulcers are also known as bedsores or pressure sores.</p><h2>Key points</h2> <ul> <li>Pressure ulcers can damage many layers of skin.</li> <li>Be gentle when giving your child a bath.</li> <li>Change your child's position often, unless your child's doctor has told you not to.</li> <li>Make sure your child is resting on a comfortable surface (for example wheelchair seat pad or mattress).</li> </ul><h2>Cause of pressure ulcers</h2><p>Pressure ulcers occur when there is ongoing compression of the soft tissue between bony parts of the body and an external surface. They usually occur on the skin that overlies the heels, the back of the head and the tail bone. They can also occur on the ears, elbows, spine and shoulder blades.</p> <figure class="asset-c-100"><span class="asset-image-title">Pressure ulcer cause</span> <img src="https://assets.aboutkidshealth.ca/akhassets/IMD_pressure_ulcer_EN.jpg" alt="Bone and compressed skin and muscle layers between an arrow showing weight of body and arrows showing pressure from mattress" /> <figcaption class="asset-image-caption">Constant pressure compresses skin layers, which can cut off blood flow. This can damage the skin layers causing a pressure ulcer.</figcaption> </figure> <p>Pressure ulcers can vary in severity. In the more mild form, the skin is still intact and there is redness of the area. In the more severe forms, the ulcer penetrates through the skin and you are able to see exposed fat, bone, tendon or muscle underneath.</p><h2>Who is at risk?</h2><p>The risk factors for developing pressure ulcers include:</p><ul><li>decreased mobility (often patients who are restricted to a bed or wheelchair)</li><li>moisture left on the skin from sweating or unclean diapers</li><li>continuous pressure from an external device such as a splint or oxygen mask, or a piece of tubing or equipment your child may be lying on such as an oxygen tube or IV (intravenous) tube</li><li>poor nutrition does not cause pressure ulcers but lack of nutrition can put someone at higher risk of developing pressure ulcers</li></ul> <figure class="asset-c-100"> <span class="asset-image-title">Pressure ulcer caused by external device</span> <img src="https://assets.aboutkidshealth.ca/akhassets/IMD_pressure_ulcer_tubing_EN.jpg" alt="Arrows showing impact of pressures on bone, skin and muscle layers from weight of the body and from lying on external device" /> <figcaption class="asset-image-caption">Constant pressure from lying on an external device like tubing can also compress skin layers causing a pressure ulcer.</figcaption> </figure><h2>Complications from pressure ulcers</h2> <p>If pressure ulcers are left unnoticed or untreated, then they can result in complications such as:</p> <ul> <li>pain</li> <li>infection</li> </ul><h2>Questions to ask your child's doctor or medical team</h2> <p>If you are concerned about your child's skin, consider asking the following questions:</p> <ul> <li>Is my child's illness affecting their skin?</li> <li>Are there protective barrier creams that might help?</li> <li>Is there anything that can be used to prevent moisture from damaging the skin?</li> <li>Is my child on the best possible surface to prevent skin breakdown (for example wheelchair seat pad or mattress)?</li> <li>Could advice from a dietitian on how to eat well help my child's skin condition?</li> </ul> <p>If you are not in the hospital, consider taking a photograph of the area so that you can show your doctor or nurse.</p>
Escarres de décubitusEEscarres de décubitusPressure ulcersFrenchDermatologyChild (0-12 years);Teen (13-18 years)SkinSkinConditions and diseasesCaregivers Adult (19+)NA2013-08-26T04:00:00Z6.0000000000000078.0000000000000572.000000000000Health (A-Z) - ConditionsHealth A-Z<p> Obtenez plus de renseignements sur les escarres de décubitus, les façons de les prévenir et les cas à risque.</p><h2>​En quoi consistent les escarres de décubitus?</h2> <p>Les escarres de décubitus, également appelées ulcères de décubitus ou plaies de lit, sont des lésions cutanées provoquées par une pression constante sur la peau de votre enfant. La pression peut endommager plusieurs couches de peau.</p><h2>À retenir</h2> <ul><li>Les escarres de décubitus peuvent pénétrer plusieurs couches de peau.</li> <li>À l’heure du bain, lavez doucement votre enfant.</li> <li>Changez souvent votre enfant de position, à moins que son médecin vous ait précisé de ne pas le faire.</li> <li>Assurez-vous que votre enfant est installé confortablement (par exemple, allongez-le sur un matelas ou munissez sa chaise roulante d’un coussin de siège adapté).</li></ul><p>Les escarres de décubitus surviennent lorsqu’il se produit une compression continue des tissus mous situés entre les os du corps et une surface externe. Bien qu’elles se produisent habituellement sur les talons, à l’arrière de la tête et sur le coccyx, elles peuvent aussi se former sur les oreilles, les coudes, la colonne vertébrale et les omoplates.</p> <figure class="asset-c-100"> <span class="asset-image-title">Cause des escarres de décubitus</span><img src="https://assets.aboutkidshealth.ca/akhassets/IMD_pressure_ulcer_FR.jpg" alt="Os et couches de peau et de muscle comprimées entre des flèches montrant l’impact du poids du corp et la pression du metelas" /><figcaption class="asset-image-caption">Une pression constante comprime les couches de peau et peut empêcher le sang de circuler. L’arrêt de la circulation sanguine peut abîmer les couches de peau et provoquer la formation d’une escarre de décubitus.</figcaption> </figure> <p>La gravité des escarres de décubitus varie. Dans leur forme la plus légère, la peau demeure intacte, mais on y observe une rougeur. Dans leur forme la plus grave, les escarres pénètrent toutes les couches de peau, laissant une plaie ouverte où sont exposés la graisse, l’os, le tendon ou le muscle sous-jacent.</p><h2>Quels cas sont à risque?</h2><p>Les facteurs de risque liés à la formation d’escarres de décubitus sont les suivantes :</p><ul><li>une mobilité réduite (les malades confinés à un lit ou à une chaise roulante sont souvent touchés),</li><li>l’humidité sur la peau que forment la transpiration ou les couches souillées,</li><li>la pression constante exercée par une pièce externe comme une attelle ou un masque d’oxygène ou encore la compression due, par exemple à un tube à oxygène ou un tube à perfusion intraveineuse sur lequel est allongé votre enfant,</li><li>les carences alimentaires ne causent pas d’escarres de décubitus quoiqu’elles puissent augmenter les risques de formation de ces lésions.</li></ul> <figure class="asset-c-100"> <span class="asset-image-title">Escarres de décubitus causées par des objets externes</span><img src="https://assets.aboutkidshealth.ca/akhassets/IMD_pressure_ulcer_tubing_FR.jpg" alt="Pression sur l’os et les couches de peau et de muscle causée par être allongé sur un appareil externe montrée par des flèches" /><figcaption class="asset-image-caption">La pression constante qu’exerce sur la peau un objet externe comme un tube sur lequel un enfant est allongé peut aussi comprimer les couches de peau et entraîner la formation d’une escarre de décubitus.</figcaption> </figure><h2>Complications des escarres de décubitus</h2> <p>Si les escarres de décubitus ne sont pas décelées ou ne sont pas traitées, elles peuvent :</p> <ul><li>devenir douloureuses,</li> <li>s’infecter.</li></ul><h2>Questions à poser au médecin ou à l’équipe de soins de votre enfant</h2> <p>Si la peau de votre enfant vous préoccupe, envisagez de poser les questions suivantes au médecin ou à l’équipe de soins de votre enfant :</p> <ul><li>La maladie de mon enfant porte-t-elle atteinte à la peau de mon enfant?</li> <li>Existe-t-il des crèmes qui permettraient de protéger la peau?</li> <li>Y-a-t-il des façons d’empêcher que l’humidité abîme la peau?</li> <li>Est-ce que j’installe mon enfant des façons les plus appropriées pour prévenir les lésions de la peau (par exemple, allongé sur un matelas ou assis dans sa chaise roulante sur un coussin adapté?)</li> <li>Est-ce que les conseils d’un diététicien sur une saine alimentation permettraient d’améliorer l’état de la peau de mon enfant?</li></ul> <p>Nota : Si votre enfant n’est pas hospitalisé, il serait utile de prendre une photo de la lésion pour la montrer au médecin ou à un infirmer.</p>

 

 

 

 

Pressure ulcers772.000000000000Pressure ulcersPressure ulcersPEnglishDermatologyChild (0-12 years);Teen (13-18 years)SkinSkinConditions and diseasesCaregivers Adult (19+)NA2013-08-26T04:00:00Z6.0000000000000075.6000000000000638.000000000000Health (A-Z) - ConditionsHealth A-Z<p>Learn about pressure ulcers, who is at risk and how to prevent them.</p><h2>What are pressure ulcers?</h2><p>Pressure ulcers are sores that are a result of constant pressure on your child's skin. Pressure can cause damage many layers of skin. Pressure ulcers are also known as bedsores or pressure sores.</p><h2>Key points</h2> <ul> <li>Pressure ulcers can damage many layers of skin.</li> <li>Be gentle when giving your child a bath.</li> <li>Change your child's position often, unless your child's doctor has told you not to.</li> <li>Make sure your child is resting on a comfortable surface (for example wheelchair seat pad or mattress).</li> </ul><h2>Cause of pressure ulcers</h2><p>Pressure ulcers occur when there is ongoing compression of the soft tissue between bony parts of the body and an external surface. They usually occur on the skin that overlies the heels, the back of the head and the tail bone. They can also occur on the ears, elbows, spine and shoulder blades.</p> <figure class="asset-c-100"><span class="asset-image-title">Pressure ulcer cause</span> <img src="https://assets.aboutkidshealth.ca/akhassets/IMD_pressure_ulcer_EN.jpg" alt="Bone and compressed skin and muscle layers between an arrow showing weight of body and arrows showing pressure from mattress" /> <figcaption class="asset-image-caption">Constant pressure compresses skin layers, which can cut off blood flow. This can damage the skin layers causing a pressure ulcer.</figcaption> </figure> <p>Pressure ulcers can vary in severity. In the more mild form, the skin is still intact and there is redness of the area. In the more severe forms, the ulcer penetrates through the skin and you are able to see exposed fat, bone, tendon or muscle underneath.</p><h2>Who is at risk?</h2><p>The risk factors for developing pressure ulcers include:</p><ul><li>decreased mobility (often patients who are restricted to a bed or wheelchair)</li><li>moisture left on the skin from sweating or unclean diapers</li><li>continuous pressure from an external device such as a splint or oxygen mask, or a piece of tubing or equipment your child may be lying on such as an oxygen tube or IV (intravenous) tube</li><li>poor nutrition does not cause pressure ulcers but lack of nutrition can put someone at higher risk of developing pressure ulcers</li></ul> <figure class="asset-c-100"> <span class="asset-image-title">Pressure ulcer caused by external device</span> <img src="https://assets.aboutkidshealth.ca/akhassets/IMD_pressure_ulcer_tubing_EN.jpg" alt="Arrows showing impact of pressures on bone, skin and muscle layers from weight of the body and from lying on external device" /> <figcaption class="asset-image-caption">Constant pressure from lying on an external device like tubing can also compress skin layers causing a pressure ulcer.</figcaption> </figure><h2>Complications from pressure ulcers</h2> <p>If pressure ulcers are left unnoticed or untreated, then they can result in complications such as:</p> <ul> <li>pain</li> <li>infection</li> </ul><h2>Preventing pressure ulcers</h2> <p>The following tips will help prevent pressure ulcers from developing:</p> <h3>Protect skin and promote good skin care</h3> <ul> <li>Change your child's position often throughout the day and night, unless your child's doctor tells you not to. While in the hospital, the nurse will frequently change your child's position.</li> <li>Make sure your child is not lying on a tube or piece of equipment for long periods of time.</li> <li>Check your child's skin for redness or sores at bath time, when changing their position, or when moving them from one surface to another (for example from the bed to the wheelchair).</li> <li>Make sure your child is resting on a comfortable surface such as a wheelchair seat pad or mattress.</li> <li>Be gentle when giving your child a bath.</li> </ul> <h3>Protect skin from excessive moisture</h3> <ul> <li>Keep your child's skin dry. Quickly clean up moisture from body fluids such as sweat and urine.</li> <li>Be gentle when cleaning your child's skin. Use a soft cloth and a soft touch.</li> </ul><h2>Questions to ask your child's doctor or medical team</h2> <p>If you are concerned about your child's skin, consider asking the following questions:</p> <ul> <li>Is my child's illness affecting their skin?</li> <li>Are there protective barrier creams that might help?</li> <li>Is there anything that can be used to prevent moisture from damaging the skin?</li> <li>Is my child on the best possible surface to prevent skin breakdown (for example wheelchair seat pad or mattress)?</li> <li>Could advice from a dietitian on how to eat well help my child's skin condition?</li> </ul> <p>If you are not in the hospital, consider taking a photograph of the area so that you can show your doctor or nurse.</p><img alt="" src="https://assets.aboutkidshealth.ca/AKHAssets/pressure_ulcers.jpg" style="BORDER:0px solid;" />https://assets.aboutkidshealth.ca/AKHAssets/pressure_ulcers.jpgPressure ulcersFalse

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