(1) Management of Pressure Ulcers

Pressure ulcers primarily affect persons with impairment of sensation, spinal cord injured, diabetic and mobility impaired persons. Twenty seven patients of spinal cord injury (SCI) with extensive pressure ulcers were studied. All of them had very low serum hemoglobin and serum protein level along with other complications of SCI hampering healing of pressure ulcers. This vicious cycle of paraplegia / quadriplegia → pressure ulcers → low serum hemoglobin and serum protein level → reduced healing capacity and more pressure ulcers, was broken with increase in serum hemoglobin and serum protein levels. All these patients improved in general condition, serum hemoglobin, serum protein levels and were discharged ambulatory. Key words: Pressure ulcers, spinal cord injury