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Pressure Injury Management in Bedridden Patients: A Case Study of Effective
Wound Care with Multifaceted Dressings

H. Lai 1

Nursing Department, China Medical University Hospital, Chinese Taipei
1

Background: Pressure injuries are prevalent complications in bedridden patients, causing significant
physical and psychological distress for both patients and their families. This case study explores the
use of multifunctional dressings in improving the healing of Pressure injuries in a 52-year-old male
diabetic patient who experienced an acute stroke during hospitalization, rendering him unconscious
and completely dependent on others for care. Due to the family caregiver’s lack of experience in
caring for a bedridden patient, pressure injuries developed and worsened, exhibiting necrotic tissue
and copious exudate. The nurse needed to change the dressings 5-6 times daily.

Objective: This study aims to evaluate the efficacy of a multifaceted wound dressing approach in
improving pressure injuries in bedridden patients.

Methods: Through medical record review, observation, and intervention with multifunctional dressings,
the study aimed to maintain a moist wound environment to promote tissue regeneration, utilize silver-ion
dressings to prevent biofilm formation and achieve antibacterial effects, and employ foam dressings
to absorb copious wound exudate. Daily photographs were taken to track wound changes, and the
effectiveness of traditional dressings and multifunctional dressings on wound healing was compared.

Results: After intervention with multifunctional dressings and enhanced patient education for family
members on bedridden patient care, the patient’s wound size decreased from 12*10cm to 6*7cm within
15 days. Necrotic tissue diminished, and granulation tissue formation was observed. Wound exudate
significantly reduced, and dressing changes decreased from 5 times daily to once daily.

Poster Presentation Abstracts
Conclusion: The use of multifunctional dressings effectively improved the patient’s pressure injuries.
Proper wound cleansing and selection of appropriate dressings promoted tissue granulation, prevented
infection, and reduced the frequency of dressing changes, improving nursing staff efficiency. Furthermore,
engaging family members in wound care increased their confidence and enhanced their ability to provide
care at home, ultimately improving the patient’s overall quality of care.

Keywords: pressure injury, multifaceted dressings

_____________________________________________________________________________________________________
Correspondence: Hui-Hsuan Lai, Nursing Department, China Medical University Hospital, Chinese Taipei
E-mail: salana1978@gmail.com

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