Have you ever seen a pressure injury in the heel?

Heel pressure injury refers to injury and pain caused by excessive pressure on the heel area. This injury usually occurs in people who wear high heels for long periods, engage in high-intensity exercise, or are overweight people who are bedridden for long periods of time.

characteristic:

The heel has a special anatomical structure and physiological characteristics. It is located at the end of the limb and has poor local blood circulation. It is also a prone site for pressure injuries. This stage II pressure injury in front of you is clear proof. If immediate care is not taken for pressure injuries in the heel, blisters (blisters in pressure injuries on the heel are often larger), ulcers, and even ulcers may develop, leading to III and IV pressure injuries. Very likely. Heel pressure ulcers are usually difficult to heal and have a long course. If not handled properly, it will greatly increase the patient's pain, reduce the patient's quality of life, and increase the patient's amputation rate.

Nursing measures:

Nursing Assessment:

After a patient suffers a heel pressure injury, the wound condition should be comprehensively and dynamically assessed and recorded. The assessment content includes ① site; ② area and depth (with or without sinus tract, submerged); ③ stage; ④ smell; ⑤ amount, color, nature of exudate; ⑥ wound and surrounding skin condition; ⑦ pain, etc.

Reduce stress now :

If no blisters appear, you can use iodophor for disinfection and then apply Silicone Foam Dressing to suspend the heel to decompress it. This will speed up blood circulation and heal the pressure injury. Use safflower oil to apply to the affected area 3-4 times a day to promote local blood circulation.

If blisters appear, they can be aspirated with a sterile syringe and covered with Hydrocolloid Blister Plaster after disinfection. It is made of hydrocolloid material, which can provide a slightly acidic closed space for the wound, which is conducive to healing. It can also prevent the invasion of foreign microorganisms and reduce the chance of wound infection.

Heel pressure injuries are a common foot problem, but with proper prevention and treatment, heel pain and discomfort can be effectively reduced. If heel pain lasts for a long time or the symptoms are severe, you should consult a doctor promptly for further examination and treatment. Use heat or massage to relieve heel pain.

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Editor: kiki Jia

Date: September 18, 2023