The best treatment for bed sores involve removing pressure on the affected area, cleaning and dressing the wounds, and removing damaged and dead tissue, explains Mayo Clinic. Management of incontinence, ensuring adequate nutrition, utilizing antibiotics when necessary, and ensuring adequate pain relief are additional steps used to treat bed sores.
Pressure relief is one of the most important steps in the treatment of pressure sores, notes The Merck Manual Home Edition. This is accomplished through frequent repositioning of the individual, while in bed or in a chair. Additionally, specialized support surfaces help properly distribute body weight over a mattress or chair cushion while soft padding can prevent skin breakdown over bony areas such as heels, elbows and hips.
Wound care involves thorough cleansing and the use of specialized dressings in order to keep the pressure wound clean and dry, according to Mayo Clinic. Different dressings are used according to the stage of the wound and the amount of drainage present. Dressings keep the wound bed moist to promote healing while keeping the healthy skin surrounding the sore dry. They also act as a barrier against infection.
Damaged or dead tissue must be removed in order to allow the pressure wound to heal from the inside out, notes The Merck Manual. This process is called debridement, and it may be accomplished through mechanical means with a scalpel and tweezers, through the use of enzyme solutions, baths or surgical interventions.