Treating deep pressure ulcers requires a comprehensive, multi-faceted approach — not just wound dressings but addressing all factors preventing healing.
Treatment Pillars:
- Complete pressure removal: Cannot heal an ulcer under pressure. Alternating mattress + strict repositioning schedule + positioning pillows.
- Surgical debridement: Remove all dead tissue — by scalpel, autolytic, or enzymatic dressings. Repeated until healthy granulation tissue appears.
- Advanced dressings: Based on wound stage — foam for absorption, hydrogel for dry wounds, alginate for light bleeding, silver for infection.
- Infection treatment: Oral or IV antibiotics based on severity. Wound culture to identify bacteria and appropriate antibiotic.
- Intensive nutrition: High protein (1.5 g/kg daily), vitamin C and zinc, adequate calories — without adequate nutrition the wound won't heal.
- Moisture management: Treat incontinence — catheter if needed, barrier creams, immediate sheet changes.
At BEIT TARIQ Center, we treat Stage 3 and 4 cases with high success using comprehensive British protocols.