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    dressing for bedsores.

    I am t6-t7 paraplegic since 2005.I am having a bed sore in my side thigh for over 8 years.. it was healed upto 90% bt the hole was still there.. nw i am dressing my sores once a day with betadine solution and 'drez' an ointment. Now one of my frnd, who is working as a nurse says me to apply the celin 500mg(ascorbic acid) tablet directly to the bed sore by powdering it.Wl it help to heal my bed sore or it wl worsen it?

    #2
    Nw the wound was very small. Bt it remains same for the past 2 years.. so can i try dressing by powdering celin tablets and apply the celin powder in my bed sores.

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      #3
      Don't use Betadine. You can wash it but then rinse it with sterile water. It probably has necrotic-dead -tissue and that is why it won't heal. The tissue has to remain pink and slowly heal. Or it might be infected. What color is it and does it have any drainage?
      CWO
      The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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        #4
        I haven't tried it myself but would a good medihoney gel or a dressing work? I've read that it helps to debride necrotic tissue and promotes healing. I keep it on hand, I just haven't a reason to try it.

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          #5
          Don't use Betadine. You can wash it but then rinse it with sterile water. It probably has necrotic-dead -tissue and that is why it won't heal. The tissue has to remain pink and slowly heal. Or it might be infected. What color is it and does it have any drainage?
          THE COLOR of the wound is light pink and the inner part of the wound is in white color. Ok hereafter i wont use betadine. Now can i powder celin tablet and apply it in the wound directly..wl it b help full as stated by my nurse. Please someone suggest.

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            #6
            I have never used vitamin C tablet directly on the wound. And the white part of the wound doesn't sound good. Like a scab? Medihoney should be good to try.
            cwo.
            The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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              #7
              Hmm.. nw i stopped using betadine daily.. during the early stages of the wound i used to wash it with hydrogen per oxide regularly, now can i use hydrogen per oxide regularly. Will it heal the wound.

              Comment


                #8
                Hydrogen peroxide and betadine are good for the first washing of a wound or after debriding to kill germs. Both though will destroy new cells that form to heal wounds. A normal mild soap and clean or sterile water is better for daily washing if needed. If MediHoney (honey that is purified and labeled for medical use) is not available you might try something like Xenaderm but the sore should be checked by a medical doctor for any infection that might be keeping it from healing. You can read about Xenaderm at www.drugs.com.
                Last edited by Sue Pendleton; 23 Aug 2015, 7:54 PM.
                Courage doesn't always roar. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow."

                Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied and are based solely on my experiences as a SCI patient. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

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                  #9
                  Neither hydrogen peroxide nor Betadine should be used on pressure ulcers. As Sue says above, there is plenty of evidence that both inhibit the growth of fibroblasts, which are the cells that form granulation tissue, which heals a pressure ulcer. You really need to work with an expert in wound care. The nurse telling you to put ascorbic acid (Vitamin C) on the wound does not appear to be such an expert.

                  I would suggest that you get copies of these two documents.

                  The first is the quick reference guide for pressure ulcer prevention and treatment from the National Pressure Ulcer Advisory Panel:

                  http://www.npuap.org/wp-content/uplo...-16Oct2014.pdf

                  The second one is the clinical practice guideline from the Consortium for Spinal Cord Medicine on the same topic, this time specific to SCI: http://www.pva.org/atf/cf/%7BCA2A0FF...re%20Ulcer.pdf

                  Read these yourself, and share them with your health care team so that you can get evidence-based care for your wounds.

                  (KLD)
                  The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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                    #10
                    Instinct tells me you don't want put an acid on an open sore. Would recommend you seen a wound care specialists as KLD suggests.

                    What caused the sore in the first place and are you sure you have eliminated it from irritating it now?

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                      #11
                      i am dressing my bedsore daily once by washing it with normal saline then apply drez ointment & cover it with gauze and tap it. Today i met my physician, he ask me to dress it once daily. Will it enough, or i want to dress twice daily.

                      Comment


                        #12
                        Drez ointment is Betadine (Povidone Iodine). I would not us it on a pressure ulcer. Can you get an ointment like Bacitracin (Neomycin, polymyxin) instead?

                        (KLD)
                        The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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