The first prophylactic measure in case of danger of through ulcers consists in a regular repositioning. The vulnerable skin areas must be inspected several times a day, and the patient must be relocated accordingly. If two-hourly turning is not enough, aids such as soft-storage mattresses can be used. It is important to take good care of the skin so that it stays dry, clean and intact. Skin care with milking grease, vaseline, zinc paste, etc. and the use of circulation-enhancing substances such as rubbing alcohol aggravate the condition of the skin.
Increased energy consumption
In addition, it is important to have adequate nutrition: People at risk of decubitus ulcers need about twice as much protein as healthy people, and the additional energy requirement is estimated at between 30 and 90 percent. Already sick people recover with special additional food twice as fast - for example with drinking preparations available in pharmacies.
Sometimes maggots help
Even if it does not sound particularly appetizing: Maggots, the small larvae of the blowfly, are able to purposely remove dead tissue, because that's exactly what they feed on. Healthy cells are not touched. The chief physician of the accident surgery department of the hospital Bietigheim, Privatdozent Dr. med. Wim Fleischmann, treated with this method patients with diabetic gangrene, wound infections by arterial occlusive diseases, bacterial periostitis and ulcus cruris (open legs).
The animals are absolutely precise and work off a certain digestive secretion, which liquefies only dead tissue and is absorbed by the maggots. Suppurating, poorly healing wounds are cleaned in this way.
Painless and precise treatment
With another secretion secreted into the wound, the tissue starts to granulate faster - the open spots can finally close. The maggots are sterile and are applied tiny to the wound. For this purpose, the freshly bred and sterile maggots are rinsed with a saline solution from the delivery vessel on a dense nylon mesh and applied to the wound.
A second dressing of gauze compresses absorbs wound secretions and provides the necessary oxygen supply. After three days, the bandages are opened and the larvae removed. The painless treatment is considered very successful.