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Wound won't heal ? cant get rid of sluff

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  • Wound won't heal ? cant get rid of sluff

    Hi,

    I've had a wound on my back for the past number of months which the nurses just cant get to heal. It's located on my lower back, right side, just on one of the two protruding bones at the top of the hip/bottom of the back if you know what I mean.

    Have tried everything they suggested. Tried a vacuum for the past 3 weeks with very minor improvement. It went from necrotic tissue to sluff but won't budge from there. Picture Attached

    Anyone any suggestions on how to get rid of the sluff? Very Frustrating and in and out of bed.

    Would Microcyn be worth a try? And which type would you suggest? Hydrogel? What are the directions for use?
    Attached Files
    Last edited by cluskey007; 10-30-2015, 06:50 AM.

  • #2
    That wound needs debridement. Slough (not sluff) is dead tissue, as is eschar. A NPWT device (such as a VAC) should not be applied over dead tissue. It needs to be cleaned out first.

    Are you seeing a wound care specialist physician? Using an enzymatic debrider (like collagenase or Santyl)? Have you had an Xray or (better yet) and MRI to rule out underlying osteomyelitis?

    (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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    • #3
      Originally posted by SCI-Nurse View Post
      That wound needs debridement. Slough (not sluff) is dead tissue, as is eschar. A NPWT device (such as a VAC) should not be applied over dead tissue. It needs to be cleaned out first.

      Are you seeing a wound care specialist physician? Using an enzymatic debrider (like collagenase or Santyl)? Have you had an Xray or (better yet) and MRI to rule out underlying osteomyelitis?

      (KLD)
      Thanks for the response. Yes won't debride for whatever reason and have stopped with the vac dressings.
      Gen nurse comes to me 3 days a week to change the dressings and try something else but nothing has worked. I will try that stuff you recommend. Haven't had an x-ray or MRI, should I?

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      • #4
        Other than surgically obtaining a bone biopsy for culture, an Xray or MRI are the only ways to determine if you have bone infection underneath.

        (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.

        Comment


        • #5
          Tunnelling is normally a giveaway as well. Looks tunnelled. Ask for an infection specialist referral stat.
          Roses are red. Tacos are enjoyable. Don't blame immigrants, because you're unemployable.

          T-11 Flaccid Paraplegic due to TM July 1985 @ age 12

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          • #6
            Some sammich maker posted an interesting article about people w/ SCI and high protein/low carb diets. I used to do that regularly pre-injury (chicks love the abs) but post injury, no abs so donut time. I went back on a modified Atkin's after reading that article. It has helped my bowel program and a wound that hadn't healed in six months is healing over in the less than a month I have been on it.

            So basic point, lots of protein helps wounds.

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