A Study to Evaluate and Compare the Effectiveness of Traditional Back Care, Cavilon Back Spray and Routine Care in Term of Prevention of Decubitus Ulcer in Bedridden Patients Admitted in Safdarjung Hospital, Delhi

Abstract

A pressure ulcer is a localized area of tissue necrosis that tends to develop when soft tissue is
compressed (for a prolonged period) between a bony prominence and an external surface. The
frequency of pressure ulcers ranges from 3–14% reported globally allover. The incidence of pressure
ulcer in hospital has been reported to be 23–27.5%. Preventing pressure ulcers has been a nursing
concern for many years as per literature. In fact, Florence Nightingale in 1859 wrote, “If he has a
bedsore, it’s generally not the fault of the disease, but of the nursing”. Others view pressure ulcers as
a “visible mark of caregiver sin” associated with poor or nonexistent nursing care. Many clinicians
believe that pressure ulcer development is not simply the fault of the nursing care, but rather a failure
of the entire health care system. Hence, it is a breakdown in the cooperation and skill of the entire
health care team (nurses, physicians, physical therapists, dietitians, etc.). A survey report says that
pressure ulcer care has a significant impact on health care expenses, costing an annual £1.4–2.1 billion
to the National Health Service. Prevention on the other hand has been reported to cost approximately
one-tenth of these treatment costs.