Announcement

Collapse
No announcement yet.

pressure sore

Collapse
X
 
  • Filter
  • Time
  • Show
Clear All
new posts

    pressure sore

    I got a pressure sore on my ass awhile back and I have been putting zinc cream on it that the doctor gave me. It was doing well for awhile but it seems now that it was taken a turn for the worse for reasons I am unsure of. It kinda resembles a fresh picked scab. There is a break in the outer couple layers of the skin revealing a pinkish purpleish colour of skin. The sore itself is not that big. Should I continue to put zinc type cream on it or do something else? The doc is on holidays til the 14th. I have it uncovered...
    suggestions?

    #2
    What exactly did he give you? Was it Baza or some other ointment that include zinc oxide? If so, that is to be used only on unbroken skin or rashes, never on a pressure ulcer that is open. It is designed to protect the skin from moisture only, and does not aid healing.

    If it was actually Silvadene cream, it is OK to use on an open wound, but from what you describe, it is not the right treatment for this wound.

    I assume this pressure ulcer is on your ischium. That means NO SITTING AT ALL, regardless of what you put on it.

    The basic principles of wound healing are to keep it moist (but not wet) and keep it covered. Stop using the ointment. Cover the wound with a non-adherance dressing such as Telfa or Vasoline gauze or Xeroflow, then place a damp 2X2" or 4"X4" gauze on top, then cover with several dry 4"X4" pieces of gauze.

    If it gets worse, you need to see someone sooner than the 14th. Did you already make an appointment with your physician's office? You really need to see a wound specialist (nurse or physician).

    Meanwhile, jack up the amount of protein in your diet, add a multivitamin if you don't take one already, and be sure you are eating lots of green leafy veggies and fruit (should not be too hard this time of year).

    (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


      #3
      Please tell me you didn't see one of the SCI docs at Parkwood in London who told you just to put some cream on it!?

      Take it seriously now, so you won't have to later ... or you're going to miss out on school in the fall/winter! Get your nutrition levels checked (iron, wbc, etc). A difficult place to keep infection out of ... try to locate a wound care nurse in your area or contact Parkwood (if they didn't give you the damning advice above). Can't rely on family docs for this stuff.
      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

      Comment


        #4
        thanx SCI nurse

        well Lynnifer we all know how great Parkwood is.....hahahaha
        They are the ones that gave me the cream in the first place...it is the baza stuff. I tried calling them again to have them look at it but the girl who I deal with is gone for a while. I am scared shitless because I dont want to miss my last semester or anything. I know my family doc wouldnt know what to do. It is where the ass meet leg type area and as I said it isnt that big. I am trying to stay off it which is hard for me because I cant just lay in bed. I am watching what I eat (didnt know before that could affect things) How do you get your levels checked? Could my fam doc do that?

        Comment


          #5
          I want to chime in on the nutrition. LOTS of protein. Unless you are a huge meat eater, you probably can't get enough just with you meals, so go for a supplement as wekk (boost, etc. . .. there is a thread somewhere about different supplements.)
          T7-8 since Feb 2005

          Comment


            #6
            Yeh, Im not a big meat eater...especially in summer months. I will have to read up on this a little further.

            Comment


              #7
              Protein

              I am also trying to heal a sore, and want to add the extra protein with a supplement. How much of a difference will it make? My wife doesn't think it would be worth taking.
              -tw

              Comment


                #8
                Don't use Baza!

                Stay off it. This is your ischium. If you sit, you risk getting a deep pressure ulcer that will take months to heal and require you to drop out of school. Stay off it now, and it may heal.

                Can you go to an ER or urgent care to get a more appropriate dressing or treatment for this wound?

                (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


                  #9
                  yeh Im not using it, by stay off it....what do you mean? Do I have to stay in bed all day or just more than normal? hahahah Im trying to laugh about this but inside I am freaking out

                  Comment


                    #10
                    Shorty, sorry, but yea, thats what she means. I had a stage 2 sore, sounds like what you have. It was further up on my back, so it wasn't actually touching the cushion while I was in the chair. It went on for 9 months. Luckily it never got any worse. But it finally healed when I went on bed rest. It took 4 weeks .... I was allowed up a total of 2 hours a day, and I think that was ONLY because of the location of the sore. If you just go with it now, before it gets any worse, it will probably heal very quickly. I redamaged the area a few months ago, and as soon as I saw it, went right on bed rest. That time it only took a little over a week. Yea, it really sucks, but if it gets deeper, you are talking a lot longer. Check out some of PatonB's posts.

                    tw - The protein supplement will make a big difference. Maybe someone could chime in on how many grams of protein you should be eating, but I know iI couldn't manage it just with meals. I think it is around 100 grams a day.
                    Last edited by sjean423; 8 Aug 2007, 3:18 PM.
                    T7-8 since Feb 2005

                    Comment


                      #11
                      In bed, on a couch, on a prone gurney, but NO SITTING, and best to avoid laying on your back. This also means no sitting up in the bed or on the couch. Laying down only.

                      Better to be down now than the 2-3 months of total bedrest needed if you had to have a flap....

                      (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


                        #12
                        You can get SOY protein powder to mix with water/milk or whatever you want to mix it with. I don't eat meat at all. A well balanced diet, which includes whole grains NOT white/'enriched' products, avoid processed sugars which shut down your immune response; eating balanced, healthy meals, you can get the nutrition you need. BUT, many folks do not understand that phrase. So eat as best you can, take a multi-vitamin, supplement your protein and keep it clean and bandaged.
                        What kind of cushion do you use?
                        Also, alcohol and smoking do not help a body to heal

                        https://www.facebook.com/john.baxter.1213986

                        Comment


                          #13
                          its a matrix cushion. I take a multi vit. Where do you get these suppliments from? I am trying to stay off it the best I can. I appreciate the advice

                          Comment


                            #14
                            I remember my first pressure sore. Visiting nurses were putting some kind of goop on it and covering it with a gauze pad. After finding out it was tracking, having a failed flap surgery, and problems for years after, I can recommend only one thing.

                            Stay completely off of it! Every sore is different. If you can, get a nurse that specifically deals with wound care to look at it.
                            www.myquadriplegia.com

                            Comment


                              #15
                              Freaking Parkwood. Place has gone downhill from twenty years ago. Dr Young spoke there a few years back (I was surprised someone of his caliber actually attended - lol!)

                              They are running a clinical trial out of Parkwood right now through the University of Western Ontario - best pressure sore care I ever received - but unfortunately my nutrition levels (thyroid & iron) got me kicked out of the study. They'll apply some electrical stim to your wound (if you qualify) but I guarantee you the best care.

                              Dr Pamela Houghton was the one in charge, along with a Dr Keast. I stopped seeing them because *he* gave up on me wanting to cut my legs off. But for other wounds, especially for non-chronic ones, I'm sure they're the people (and the only people) to see in London.

                              Otherwise, I've heard good things about a Gary Sibbald from Toronto but I know nothing personally of him. I was told I should see him but never followed up considering it's four hours away.
                              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

                              Comment

                              Working...
                              X