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    wound getting worse

    my mom's wound seems to be getting worse.


    the wound care nurse has us using iodosorb then covering it with mesorb dressing.

    after a day the mesorb it soaked and the white stuff has spread and is thicker.

    any ideas what to use????
    Attached Files

    #2
    A plastic surgeon.

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      #3
      ......................
      Last edited by Roller For Life; 13 Apr 2019, 11:37 PM.

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        #4
        this wound looks like it needs a good Debridement. it should be seen by a doctor specializing in wound care each week until healed. pics and measurements should also be taken each week along with the Debridement.

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          #5
          saw a wound specialist today did a debridement and put hydrofera blue classic on top then another dressing.

          we will see.



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            #6
            The wound appears to be getting macerated from drainage. This usually calls for a more absorbent dressing, and looking for a cause of the drainage. If infection is suspected, some MDs would consider using a course of oral antibiotics. I would consider using an absorbent, silver iimpregnated dressing at this point.

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              #7
              Originally posted by phil jackson View Post
              saw a wound specialist today did a debridement and put hydrofera blue classic on top then another dressing.
              What kind of dressing was applied to the wound. For a wound like this I like: https://www.molnlycke.us/products-so...x-border-flex/

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                #8
                Santyl cream to debris it and create a clean wound bed, maybe?

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                  #9
                  You need to be followed by a plastic surgeon or wound care nurse on a consistent basis. That wound needs a lot of care. Given that I did not see it nor did I assess it, I don't feel comfortable making any suggestions on products. I will tell you that your MOm should NOT be sitting on it, should stay well hydrated and increasing her nutritional intake may help some. Make sure she is getting protein in her diet. Healing will come slowly so don't change the dressing routine without speaking to your primary wound care person.


                  ckf
                  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
                    so this is what it looks like now.
                    as i stated earlier wound care nurse debrided the wound
                    then put on hydrafera blue classic covered with mesorb.
                    tape covering the mesorb was opsite flexifix

                    then after 24hrs changed from mesorb to biatain silicone
                    using opsite flexifix only on the border of the biatain.
                    Attached Files

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                      #11
                      Originally posted by phil jackson View Post
                      so this is what it looks like now.
                      as i stated earlier wound care nurse debrided the wound
                      then put on hydrafera blue classic covered with mesorb.
                      tape covering the mesorb was opsite flexifix

                      then after 24hrs changed from mesorb to biatain silicone
                      using opsite flexifix only on the border of the biatain.
                      Where is the wound? What is your Mom doing for positioning? Is she in bed with all pressure off of this wound? With this kind of wound, she just can't have ANY pressure on the area.

                      Can you show us a picture of the wound from further out so we have an idea of the location of this wound?

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                        #12
                        she is in bed pressure is off the wound.

                        don't worry i know what to do.

                        it will be okay.

                        thanks for all your responses.
                        Attached Files

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                          #13
                          The ischial, or commonly known as sit bones. This is probably the most common area on the backside people develop pressure sores. She's going to have to completely re-evaluate her seating when she eventually gets up to prevent this happening again. If she uses a power wheelchair then I would seriously look into getting a wheelchair that allows her to carry out pressure tilts independently.
                          Tetraplegic & Spinal Injury Site

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                            #14
                            Tending a wound as I type. Bandaid makes a dressing that stays on for 4-5 days and uses your own bodies fluid to heal. Say it makes a "blister" THE BEST I've ever tried 10-1.
                            They work !! Would have that wound healed in 8 days I'm willing to bet. Good luck. Hate laying here doing nothing !!!

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                              #15
                              Ajstevens do you know the name of that dressing??

                              thanks

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