Many people are afraid to take on this kind of responsibility because they fear pressure ulcers, which they believe inevitably accompany a bedridden lifestyle. However, gaining a little knowledge on the subject is enough to effectively prevent painful lesions. Elderly people with limited mobility particularly need companionship, and it is not worth giving up caring for them simply because we are afraid of the challenges involved.

Caregiver in Germany. A job that requires openness to acquiring new knowledge

A pressure ulcer is localized tissue necrosis caused by prolonged pressure. Elderly people who are able to react reflexively to discomfort prevent them independently by changing position. This problem therefore threatens only those who cannot perform this action and depend on a caregiver’s assistance. Pressure ulcers most often develop in places where the distance between the bones and the skin’s surface is small. If such an area remains under pressure for a long time, tissue ischemia may occur, which in the long term leads to the formation of pressure ulcers.

In the first phase, a pressure ulcer is simply redness that does not disappear after the pressure has been relieved. At subsequent stages, blisters and ulceration appear on the skin, and when the condition is highly advanced, serious loss of skin may even occur. That is why the basic element of pressure ulcer prevention used by caregivers in Germany should be constant observation of the patient’s skin. Only then can potentially dangerous changes be detected at an early stage, when it is still possible to respond to them effectively.

How can German caregivers look after a dependent with limited mobility? 

Frequently changing the position in which our dependent lies is crucial for preventing pressure ulcers. This should be done every two hours for a bedridden person and every hour for a seated dependent, as well as whenever the elderly person signals discomfort. Since the risk of pressure ulcers increases with age due to increasing skin dryness and fragility, it is also necessary to care skillfully for the skin’s condition by using moisturizing oils or rich creams in daily care. Proper circulation can also be stimulated through gentle massage.

Because the risk of pressure ulcers is higher in areas exposed to moisture, bed linen must be changed daily. Caregivers in Germany who look after people leading a bedridden lifestyle should also bear in mind that every fold forming on a sheet is a potential danger to the dependent. For this reason, sheets that can be securely fastened to the bed work best. Bed linen should be made of natural, breathable materials and must never be starched. Specialized pressure ulcer prevention aids, such as mattresses, cushions and pads, also produce good results.

Another element of prevention worth noting is a balanced diet. Usually, it is sufficient to introduce a variety of ingredients into the daily menu, such as grains, fish, cheese, vegetables, fruit and fats, while limiting the consumption of salt, sweets and animal fats. However, once pressure ulcers develop, a high-protein diet is recommended, as protein deficiency is one of the factors predisposing a patient to pressure ulcers.

Treating pressure ulcers can be time-consuming and burdensome. Following the above recommendations will help you prevent them from developing or promptly detect their first symptoms, making a quick and effective response possible.