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Another who cannot move himself may die of bed-sores, because the nurse does not know how to change and clean him, while he has every requisite of air, light, and quiet.

And in reality, as they had placed her in the hospital on the floor, upon a straw mattress, so did she remain upon it without getting up from it to her very death; submerging more and more into the black, bottomless abyss of quiet feeble-mindedness; but she died only half a year later, from bed-sores and infection of the blood. The next turn was Tamara's.

In old and debilitated patients the septic absorption taking place from a bed-sore often proves a serious complication of other surgical conditions. From this cause, for example, old people may succumb during the treatment of a fractured thigh. The granulating surface left on the separation of the slough tends to heal comparatively rapidly. Prevention of Bed-sores.

The greatest care should always be taken that the under sheet is perfectly free from ruck or wrinkle; in long illnesses the skin becomes chafed and bed-sores may be produced by neglect of this simple precaution. The complaint that a child throws off the bed-clothes is easily remedied by a couple of bits of tape tied on either side loosely from the sheet or blanket to the sides of the cot.

If protected from infection, the clinical course is that of dry gangrene. Bed-sores, which are closely allied to pressure sores, will be described at the end of this chapter.

The prisoner in the cage to his left was little more than a skeleton when Talib first entered the prison. He lay huddled up in a corner, with his hands pressed to his empty stomach and the sharp angles of his bones peeping through his bed-sores, motionless, miserable, but, let us hope, only half conscious of his misery.

It is not uncommon for the gangrenous area to continue to spread both in width and in depth till it reaches the periosteum or bone. Bed-sores over the sacrum sometimes implicate the vertebral canal and lead to spinal meningitis, which usually proves fatal.

If, in spite of this care, the skin seems anywhere to be red or chafed, it should be sponged over with brandy or with sweet spirits of nitre before powdering. Real bed-sores must be seen and treated by the doctor.

The joints of the lower extremity are especially apt to suffer; the child is seriously ill, is delirious at night, develops bed-sores over the sacrum and, it may happen that, not being expected to recover, the legs are allowed to assume contracture deformities with ankylosis or dislocation at the hip and flexion ankylosis at the knees; should the child survive, the degree of crippling may be pitiable in the extreme; prolonged orthopædic treatment and a series of operations arthroplasty, osteotomies, and resections may be required to restore even a limited capacity of locomotion.

Aunt Susan had volunteered to be her bed-fellow from the month of June, in order to move her gently, and to support the poor wasted frame upon her own, to relieve the bed-sores by a change of posture; her devotion had been indefatigable and unrelieved, for her invalid niece would accept attendance from no one else.