Penyebab ulkus dekubitu adalah kurangnya mobilitas, kontraktur, spasitas,
berkurangnya fungsi sensorik, paralisis, sensibilitas, malnutrisi, anemia, dan hipoproteinemia.
Selain itu usia yang tua, perawatan dirumah sakit yang lama, orang yang kurus, dan inkontinensia, merokok, penurunan kesadaran mental dan penyakit kulit lainnya akan mempermudah terjadinya ulkus dekubitus.(4,6,8 dr scrib)
Table 1. Components of Cornell Ulcer Risk Score Activity 0 Ambulates without assistance 1 Ambulates with assistance 2 Out of bed to chair 3 Complete bedrest Mobility 0 Full active range of motion 1 Partial active range of motion 2 Passive range of motion 3 Immobile Incontinence 0 None 1 12 times within 24 hrs 2 35 times within 24 hrs 3 .6 times within 24 hrs Nutrition 0 Achieves 75100% nutritional/calorie goals 1 Achieves 5075% of goals 2 Achieves 2550% of goals 3 Achieves ,25% of goals Level of consciousness 0 Alert 1 Confused 2 Sedated/somnolent 3 Unresponsive to any stimuli Total score (0 15).
1. Is dynamic seating a modality worth considering in the prevention of pressure ulcers?* Lesley Stockton a,*, Shyam Rithalia b
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(17anders)
(19hartman) Adanya Hipoperfusi dan tekanan luka pada lapisan atas kulit di daerah yang dibatasi eritema dan indurasi. Eitema ini tidak pucat ketika daerah tersebut ditekan dengan spatula ujung jari atau kaca (Gambar 2).
Gambar 2. Derajat 2 ulkus dekubitus dengan eritema yang tidak pucat jika ditekan dengan jari, tampak indurasi dan berlepuh. 22