When we entrust our loved ones to hospitals, nursing homes, or rehabilitation facilities, we expect them to receive the highest standards of care and comfort. Unfortunately, this expectation is often shattered when preventable conditions such as pressure sores (bedsores or pressure ulcers) occur. Pressure sores in hospitals can lead to severe complications and even death. Pressure sores may not merely result from chronic health conditions or immobility but can be a glaring sign of negligence or inadequate care by medical staff.
What are Pressure Sores?
Pressure sores are localized skin injuries and underlying tissue injuries caused by prolonged pressure. They develop when prolonged pressure on the skin disrupts or restricts blood flow to the area, leading to tissue damage and eventual breakdown. They commonly occur over bony areas such as the heels, elbows, and buttocks. These sores can range from mild redness to severe wounds that expose underlying tissues, including muscles and bones. Although they are prevalent among older adults and those with limited mobility, pressure sores can affect people of all ages who are bedridden or have limited movement due to medical conditions.
How Do Pressure Sores Occur?
A typical scenario may look like this: An older adult was independent and doing well at home when one day they fell and broke their hip. They were admitted to a nursing home that was understaffed and underfunded. Over two months – the patient was not appropriately assessed, lost weight, developed a severe pressure ulcer on their buttock, and began to deteriorate. They were transported to the hospital and later died of sepsis (blood infection). This is an unfortunate but common occurrence across many nursing homes and rehabilitation facilities across the country.
Pressure sores often result from a combination of factors related to the patient’s condition and the environment of care:
1. Prolonged Pressure
- Inadequate Repositioning: Patients who remain in one position for extended periods without regular repositioning are at high risk for pressure sores.
- Uncomfortable Surfaces: Old or unsupportive mattresses and bedding can increase the risk of developing pressure sores.
2. Inadequate Supervision and Care
- Lack of Training: Healthcare providers may not always be well-trained in preventing and managing pressure sores.
- Inadequate Staffing: In understaffed environments, the frequency of repositioning and skin assessments decreases, increasing the risk of developing a pressure injury.
3. Poor Hygiene and Wound Care
- Neglect in Wound Care: Failure to properly clean and dress existing sores can lead to worsening conditions and infections.
- Inadequate Nutrition: Poor nutrition can impair skin health and healing, making patients more susceptible to pressure sores.
- Moisture: Prolonged moisture from sweat, urine, or feces can soften the skin, making it more vulnerable to damage from pressure and friction.
4. Medical Devices and Pressure Injuries
- Prolonged Use of Medical Devices: Medical devices such as oxygen masks, CPAP machines, or intravenous (IV) lines can create sustained pressure on the skin, leading to pressure sores, particularly if not adequately padded or adjusted.
- Improperly Fitted Devices: Medical devices that do not fit properly or are not regularly inspected can cause localized pressure points, leading to skin breakdown and sores.
- High-Pressure Equipment: Certain medical equipment, such as specialized hospital beds or wheelchairs, can cause pressure injuries if incorrectly used or adjusted.
The Four Stages of Pressure Ulcer Development
- Stage 1: The skin is intact but discolored. Compared to the surrounding skin, it may feel warm or firm. There is no open wound yet.
- Stage 2: The skin breaks open, forming an ulcer that may look like a blister or shallow crater.
- Stage 3: The ulcer deepens, extending into the tissue beneath the skin. Although there is an open wound, no bones, tendons, or muscles are exposed.
- Stage 4: The ulcer is deep and has significant tissue damage. The wound is now at a high risk for infection.
How Do Pressure Sores Affect Patients?
Pressure sores can have profound impacts on individuals of all ages, affecting their physical health, emotional well-being, and overall quality of life:
1. Physical Impact
- Severe Pain: Pressure sores can impact comfort and daily activities.
- Infection Risk: Open pressure sores are vulnerable to infections, which can complicate recovery and lead to serious health issues.
- Extended Hospital Stays: Healing severe pressure sores often requires prolonged hospital stays and additional medical interventions.
2. Long-Term Health Effects
- Reduced Mobility: Pressure sores can lead to decreased mobility, as movement may exacerbate pain and discomfort.
- Decreased Quality of Life: Chronic pain and extensive wound care needs can diminish the quality of life and emotional well-being.
3. Economic Burden
- Increased Medical Costs: Treating pressure sores can be expensive, including costs for specialized dressings, medications, and possibly surgical interventions.
- Prolonged Rehabilitation: Additional costs may arise from extended hospital stays and the need for rehabilitation services.
The Next Steps
Don’t let inadequate care define you or your family’s recovery. If you or a loved one has developed pressure sores due to insufficient medical or nursing care, it is crucial to seek legal advice promptly. An experienced attorney can help investigate the circumstances, address negligence, and advocate for compensation to cover medical expenses, pain, and suffering.
At Ghuneim Law Firm, we are dedicated to fighting for justice and ensuring that healthcare facilities uphold their duty of care. Contact us today at 833-GHU-NEIM or 281-487-8929 to discuss your case and learn how we can assist you in securing the compensation you deserve.