The principal also spent several weeks in the specialized Stoke Mandeville hospital in 2014 for treatment to a pressure sore.
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One such violation was cited last April at the Kirkland nursing home after inspectors there observed a registered nurse treating a patient whose feet were touching the floor, even though one heel had a pressure sore that the resident's daughter said she feared was infected.
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Pressure sores are injuries to skin and underlying tissue as a result of prolonged pressure on the skin. A known example of pressure sore is bedsore called pressure ulcer.
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The Waterlow score (or Waterlow scale) gives an estimated risk for the development of a pressure sore in a given patient. The tool was developed in 1985 by clinical nurse teacher Judy Waterlow.
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The Braden scale assesses a patient's risk of developing a pressure ulcer by examining six criteria:Cassell, Charisse. "Pressure Ulcer Risk Assessment: The Braden Scale for Prediction Pressure Sore Risk." Health Services Advisory Group of California, Inc., n.d. Web.
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Common pressure sore sites include the skin over the ischial tuberosity, the sacrum, the heels of the feet, over the heads of the long bones of the foot, buttocks, over the shoulder, and over the back of the head.
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She also starts college at Utah South. Over the upcoming months, Amberley becomes more and more confident on her horse and takes part in the Spanish Fork Rodeo where she comes second place, less than twelve months since her accident. She continues training in preparation for The American Rodeo, but fails to tell her family about an infected pressure sore on her back. One afternoon Amberley collapses and is rushed to hospital to be told she is critical.
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Pressure ulcers may be caused by inadequate blood supply and resulting reperfusion injury when blood re-enters tissue. A simple example of a mild pressure sore may be experienced by healthy individuals while sitting in the same position for extended periods of time: the dull ache experienced is indicative of impeded blood flow to affected areas. Within 2 hours, this shortage of blood supply, called ischemia, may lead to tissue damage and cell death. The sore will initially start as a red, painful area.
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Injuries to the spinal cord interfere with electrical signals between the brain and the muscles, resulting in paralysis below the level of injury. Restoration of limb function as well as regulation of organ function are the main application of FES, although FES is also used for treatment of pain, pressure, sore prevention, etc. Some examples of FES applications involve the use of neuroprostheses that allow the people with paraplegia to walk, stand, restore hand grasp function in people with quadriplegia, or restore bowel and bladder function. High intensity FES of the quadriceps muscles allows patients with complete lower motor neuron lesion to increase their muscle mass, muscle fiber diameter, improve ultrastructural organization of contractile material, increase of force output during electrical stimulation and perform FES assisted stand-up exercises.
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