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pressure sore down time questions

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    pressure sore down time questions

    So after 34 yars got my first tage 3 ? pressure sores they are over 1" diameter one on each side of sacrum up towards top of crack. They came about post hospital stay for complex uti and most likely from just laying on my back in bed. I was still qiute sick aand Home Health care didn't show up for 2 days. Anyway moving on. I normally straight cath every 4 hours but was sent home with a foley and haven't had it removed yet. Should i just leave foley in for at least the first month or so of down period? If I had to get up to straight cath that would be about 10 transfers a day potentially causing damage to already compromisd skin.. I also know Foley will patentially caiuse more UTI's ...Curently on IV for 2 more weeks Primary and uro say it's my deciscion on whether to leave in foley. I have tried cathing in bed more urine on sheets thanin urinal no idea how people can do that. Lastly last 2 days leg bag urine looked orangish but returned to yellow colr ate drinking 48 oz of water both time.

    Any feedback welcome
    pete
    Last edited by SCI-Nurse; 4 Dec 2019, 12:07 PM.

    #2
    The color of urine is not an indication of UTI but more of what you are or are not drinking.
    You definitely don't want to have urine in the bed and possible contaminating the wounds more. Despite increased chance of UTI, UTI's are a lot easier to treat acute/chronic wounds/osteomyelitis.

    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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      #3
      How often should. Foley be changed also I have a very tight schincter so hard to put new foley initial day of hospital
      stay after 2 failed er attempts a urologist with about 40 different types of catheters was able to establish Foley I have had it in about 3 1/2 weeks should I leave it in or try to change lastly how or should I flush or irrigate c
      foley




      Originally posted by SCI-Nurse View Post
      The color of urine is not an indication of UTI but more of what you are or are not drinking.
      You definitely don't want to have urine in the bed and possible contaminating the wounds more. Despite increased chance of UTI, UTI's are a lot easier to treat acute/chronic wounds/osteomyelitis.

      CWO

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        #4
        If you're on iv for 2 more weeks, you should be fine the next 2 weeks.

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          #5
          I find that if I remove a foley and place a new one, it is pretty easy. after been held open for so long, the sphincter does not seem so tight. I also find that all silicone foleys go in much easier.
          Don - Grad Student Emeritus
          T3 ASIA A 27 years post injury

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            #6
            Pete, an interesting question is how long do you stay off of it each day and what criteria needs to be met before you can sit back on it, or lay back on it?

            A stage III pressure sore in that area will take a while for an old man Versus a young man without chronic injury to heal.

            Let me know what the medical community plan of care for your pressure sores are?

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              #7
              Most commonly, Foley is usually replaced once a month. Of course some say it does nothing and no reason to do it at all unless malfunctioning. However we do every 2-4 weeks.Irrigate if clogging in between. Did urology use coude’ catheter? Try Tamsulosin (Flomax)0.4 mgdaily. Might have scar tissue. Use lots of lubricant. 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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                #8
                I was able to squeeze into my uro this Friday probably going to remove Foley and try straight cathiing on my side in bed Depending on how that goes may go back to Foley ... I think it will be harder to judge volumes as kidneys seem to work differently when in bed as opposed to up and about

                Right now I am off loading 24/7 Except for 30 minutes every other day and 1 wound doc appt per week

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