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When I was 19 I went down to Cambridge to play soccer
for my hospital against one of the colleges. My right arm was in
plaster from an earlier rugby injury. It was a rough game, and in the changing room I peed what looked liked pure blood. This led to seven
days' flat bed rest in Addenbrooke's Hospital. Twice a day I was
rolled on my side and my back and heels were washed, rubbed with
alcohol, creamed, and powdered. I got no bedsores.
When I was 28 I worked in a west country casualty department. We had
our fracture ward upstairs full of cases immobilised in full plaster
casts. When one of these patients developed a bedsore all hell broke
loose. Two nurses were moved off the ward, and we were all up in front
of Matron in a drumhead court. It was the only case in the six months
that I was there.
When I was 47 I came back from overseas and joined a practice in the
west country. I was astonished to see patients coming out of hospital
with big infected bedsores. There was no explanation or apology for
this. Our district nurse, old and wise, cured them all with some difficulty.
When I was 74 I had a total hip replacement. During the
operation, I lost four pints of blood, which were not replaced for two
days. Until then, I was feeble and immobile, and I got a bedsore on my
heel. After I got home, the bedsore turned green and grew Staphylococcus aureus. I got a massive infection in the
surgical wound, softening the muscles, and eventually I dislocated the new hip. Back into hospital on full bed rest. This time my wife insisted on a ripple bed, and she herself did a full alcohol rub, cream, and powder on my heels twice a day. No bedsores that time.
The nurses, mostly middle aged, asked what she was doing. They had
never been taught to do this. I suppose it's a shortage of young,
active, and trained nurses. Until they arrive, how many patients less
stroppy than me plus wife will get bedsores and maybe die of the infection?
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