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(gentle music)

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[Narrator] The prevention
of skin breakdown

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and pressure sores

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is an important part of physical care,

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especially when the
person is confined to bed

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or is limited to sitting
most or all of their time.

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Each opportunity to bathe

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or reposition the person

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is another chance to check
and care for their skin.

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Look for any reddened or blanched areas.

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In other words, whitened areas

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that appear to have a lack of blood flow

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because this can indicate early signs

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of pressure on the skin.

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To reduce the risk of skin breakdown,

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pay special attention to the skin

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covering bony areas that rest on the bed.

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Bony areas that are at
risk include the hips,

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tailbone, elbows, heels, and shoulders.

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If you notice changes,

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it's important to share this information

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with your healthcare team.

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They may suggest using a special mattress.

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If the skin isn't reddened,

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gently massage the back and
areas that rest on the bed,

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using a circular motion

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with soft pressure with each turn.

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Massaging the skin can help
promote blood circulation

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and can be relaxing.

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Consider using a small
amount of non-scented lotion

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to help with a massage.

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When repositioning in bed,

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you can use pillows to help reduce

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the pressure over bony areas.

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Okay, A pillow placed under the ankle

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or between the legs may help.

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Try to keep bedsheets
dry and free of wrinkles.

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This will help reduce
friction on the skin.

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Note that as illness progresses,

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this procedure may require
two people to complete.

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Staying in the same position for too long

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can result in more pain,

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and may increase the risk of
developing sores on the skin.

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So it's important to
reposition patients regularly.

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If pain with movement is a problem,

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talk to your healthcare provider.

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In many cases, pain medications given

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prior to the turn

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can help reduce pain with movement.

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(gentle music)