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| To whom it may concern, Our hospital requires that our references for our policies & procedures be no more than 5 years old, we are using the Treatment of Pressure Ulcers, Clinical Practice Guidline Number 15, copyright December 1994. We believe this to be the most recent edition. Is this correct? Thanks, Kristen J. Franken, R.N. |
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| Any role for the use of either fibrin sealant or platelet growth factors in the treatment of venous stasis ulcers? Thank you
Redcross - USA |
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| Hi My question is twofold. We currently have a hospice pt with a very lag tumor that has erupted in her vaginal region. it has a large amt of exudate and a very foul odor. This is causing a lot of stress for her c/g's including her 17 year old daughter. We are looking for some type of odor control for her. long term therapy is not an option and of course sadly cost is a big factor.does any one know of a cost effective odor control? She has copious amts of drainage that is complicating all. Any suggestions would be greatly appreciated. thanks shari sherwood lpn | Reply
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| What information do you have about use of contact lens solution to irrigate wounds? I have a patient that wants to use it. I note it contains Boric Acid among other additives. Thank you, Barbara Djordjevic, RN |
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| A superficial wound in stage one, that is no signs of infection and health epithelial cells can be seen. I close the wound with 5
layers of saline moisture gauze and try to change 3 days alternatively. I observed that it is better than daily change. I found once we remove the old dressing, we may destroyed the healthy tissue. What is the criteria of how often we can change this kind of wound ? Thank you! Hope to see your reply soon! Merry Christmas and Happy New Year! Nurse May, from Macau |
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| Hi There, I am living in Botswana in Africa and am 51 years old and have been a paraplegic for 26 years. I have recently been suffering from repeated pressure sores and it has been recommended that I attend a seating clinic and get professional advice with the correct cushion etc etc. I have a brother in the UK who lives in Yorkshire and works in London and would appreciate any information regarding a clinic I could attend in the UK. We are closing down tomorrow and will re-open again on 7th Jan 01. Any help would be greatly appreciated. Many thanks, DALE COLLETT |
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| MY DAUGHTER HAD SURGURY AND THE TAPE ITCHES. WHAT CAN I USE? SHE HAD GALL BLADDER SURGURY. YOURS TRULY, LINDA MC GUCKIN |
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| I have to do research on the number of people in the UK and USA who will directly treat various types of wounds. This would include nurses, doctors, podiatrists etc. Help please Jackie |
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| Thirty years ago, at the age of two, I was one of the first-ever survivors of neuroblastoma, through aggressive radiotherapy, novel forms of chemotherapy, and a miracleworker named Dr. Jordan R. Wilbur. The tumor left me partially paralyzed, but I have lived an incredibly full and happy life since then, currently president of a software company and of a nonprofit organization offering sports and recreation programs for disabled youth (http://www.borp.org). Very recently I was diagnosed with a leiomyosarcoma tumor in the irradiated area of my lower back. It was immediately removed surgically; no other tumor sites were discovered, and a course of therapy was being planned to prevent regrowth. The surgical wound, however, was having trouble healing due to the fact that the site was irradiated 30 years ago. It was deemed imperative to heal the wound as quickly as possible in order to begin the cancer treatment as quickly as possible. Unfortunately, within 5 weeks of surgery, the tumor showed itself to be of the rapidly-growing variety, and had grown back to the size it had been when it was removed. Chemoherapy (cytoxin + andriomycin) was immediately undertaken despite the wound, and appears (as of this writing) to have been effective in reducing the tumor. However, we still have the remaining problem of the wound, which is at an increased risk for infection now that the effects of chemotherapy are impending (as of this writing I am three days into treatment), and shows very little improvement with twice-daily dressing changes and applications of silvadene (for the 5 weeks since the surgery). The plastic surgeons want to do a graft using my latisimus dorsi, but as a wheelchair user who relies heavily on that particular muscle I am hesitant to do something so drastic. On the other hand this wound needs to be healed quickly and with minimal risk, due to the ongoing risk factors. I am emotional about wanting to keep my lat, but I would much rather enjoy the next 50 years of my life lat-free and cancer-free than risk losing my life simply in order to save one stupid muscle. I have coped very well with paralysis; I think I can handle losing one muscle in my upper-body. But I am trying to be an educated proactive patient, and am looking for additional options. Does anyone out there have any particular experience with irradiated skin, or is my problem similar to all other reduced-circulation wounds? Treating my cancer is the number one priority right now, but simultaneously healing this wound is proving to be a major challenge. Any suggestions offered would be greatly appreciated. Thank you, John Pinter (johnpinter@yahoo.com) |
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| My daughter had warts burned with acid on her leg. The Dr. said the acid went to deep. She was on antibiotics for 21 days. This did not help. She went to wound care with a physical therapist for 2 weeks and now has sores and contact dermaties and horrible scars. What should we do. Please email me | Please reply directly to the sender at: |
| Whoever is interested in Didaksol: I am the author of the study, which is actually a literature review. I have used this solution with incredible results since 1994. If you would like more information, please contact me at TrishET@aol.com. | contact TrishET@aol.com
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Submit your new question to the group right now: wounds@medicaledu.com
Replies to previous questions
| for injuries that occur in the palm of the hand, in healthcare workers that have to wash their hands a lot, what is a good dressing for them. I ask these because a surgen asked me about a wound on his hand. is there a liquid film dressing similar to "new skin" that can be used that more gintle than this. do you have an idea of a dressing that can hold up to these amount of hand washing?
Caj |
Re your request for a dressing that will withstand washing. Try Cavilon by 3M. This comes in two handy sized sponge applicators or spray bottle. If using the sponge applicator, brush the applicator over the required area. On application it will appear wet, this will dry after a minute or so to form a barrier film similar to a plastic skin. Take care if using it in areas eg the cleft of buttocks, creases etc as it becomes 'tacky' like super-glue. In these areas, hold the skin apart until it dries. In normal circumstances, Cavilon only needs to be applied every 72 hours. I regularly use Cavilon on buttocks which are red or excoriated due to incontinence and despite frequent washing it can last 48-72 hours. Take care not to over use Cavilon as it will just build up additional layers. Hope this is of some use to you. Joyce Halsall.
--- MPM makes a good water resistent dressing called Repel. It comes in various sizes. It would really depend on how much drainage you had from the wound. Polymem is also a good dressing for a variety of problems. It comes with adhesive borders in a wide variety of sizes. |
| I HAVE A BURN TO MY RIGHT HAND AND IS CONCERNED ABOUT THE HEALING OF MY FINGERS WHAT SHOULD I USE TO IMPROVE HEALING TIME?
LJ |
Dear LJ The most important thing to do when you have a burn on your hand is to ensure that you apply a dressing that does not inhibit movement as this could lead to contracture formation.I have found that a superb dressing for hand burns is to apply a hyrogel to the burn or Flamazine and then to put on a sterile latex glove over this, I then secure the cuff with an occlusive film dressing. This should be changed bi-weekly. Once the burns have granulated I apply a thin hydrocolloid dressing or occlusive film dressing changed weekly until fully healed. A.L. |
| My dad has had a wound for the past six years that looks like a fungating wound. He has seen a few doctors at home in Trinidad but nothing seem to work. He will be coming to Toronto to spend vacation with me and someone mentioned lyofaom and I was doing some research on it when I saw your address. Can you send me some more information as to how I can help my dad with problem. He has tries just about everything and it only work a bit. The good news is dad the have rus tests at home and they say he has no diabetics. Can you help me with some information? Looking forward to getting some feed back from you. Thank You, Gillian Stewart |
I would first have the wound examined by a qualified practioner to determine if the wound is fungating. You can start by contacting the CAET (the Canadian Association of ET Nurses). These are nurses that specialize in wound care. I'm sorry that I don't have there number available....you may try the WOCN (this is the American version of the CAET) at 1-888-224-WOCN for help in locating an appropriate provider. I feel that wound assessment and determination of etiology should always be the first step in wound care. Lyofoam may be appropriate topical therapy depending on the amt of drainage. If the wound is odorous and draining, you may also consider Lyofoam-C which has charcoal to help with odor. Again, I would first find a provider that can further assess the wound. April K. --- Your dad needs to have his wound biopsied. unsigned |
| I am trying to gain information on the National Averages for pressure sore prevalence and incidence. Could you help me? Penny D. Trust Manual Handling Advisor |
Suggest that the National Pressure Ulcer Advisory Panel website would be a good place to visit ( www.NPUAP.org) NPUAP has a monograph available for purchase entitled Pressure Ulcers in America that looks at the pressure ulcer prevalence and incidence over the decade of the 90's. Carrie,PT --- Penny, --- Penny D. |
| hi i'm doing a research paper on wounds and how a laser can effect it( Effect of lasers on healing wounds). Do u have any information that could help me? Thank you Laser |
Try www.milta.ru and www.rikta.ru |
| My Husband had a hip replacement on 7-19-01 at that time there was know drain put in the hip., so on the second day in hospital all this discharge started draining on the bed floor and needless to say all over him. I brought him home on the 5th day in which they arranged to have a nurse come out to show us how to inject vancomycin in his pik-line and change the incision as it was draining so bad. A nurse came out about 2 times a week to see how we were getting along and to look at the wound and clean his line. On 8-3-01 Ken was back in the hospital because when they removed the stitches pus was present, The surgeon reopened him up to try to clean out the hip and the replacement. They have tried several times to get a culture to see what kind of infection it is with (know luck). They suspect Staph infection, but don't know! He has been to wound care for 6 weeks he took gammaglobin treatment also for 6 weeksl Well and here we are still draining from the wound 4 months later. We have tried everything but removing the hip, Do you have any idea what in the world this could be or be from? Or anything we can do from here, he has been on antibiotics the last 4 mts. now on Keflex. Anything you can do to help with information would greatly be appreciated. Thank you for reading Concerned wife |
I worked with orthopedic surgeons about 8 years ago at Washington University Medical School in St. Louis. At that time they were using implantable pumps to deliver antibiotics directly to the implant. I think this has been improved an may be something to find out about. You could call Orthopedic Surgery at Wash U at Barnes Hospital to get more information. Hope that helps unsigned ---- we have a patient that had a similar situation. he developed what is called a septic hip after a hip replacement. after not resolving with iv meds he had to have the hardware removed, con't treatment with iv antibiotics and now after 8 weeks is going to have another hip replacement. speak with your physician regarding removal of existing hardware. unfortunatly culturing while on antibiotics sometimes makes it impossible to get a definitive culture. good luck. kathy rn, adon. |
| Dear Sir/Madam, Could you please supply me with any information you have on the healing process using sugar or honey. Yours Faithfully M.J.Robinson(Mrs)RGN. |
http://www.worldwidewounds.com/Common/Topics.html |
| I'm and RN, CWS with an Associates Degree. I'm also Certified in Surgical Debridement but unable (as far as I know) to practice surgical debridment without a physician at my side. Does anyone know different? Do I need to be an ARNP to practice sharp debridement? I live in Florida. JS |
Dear JS, did you receive a certificate while at a seminar. That seminar certificate is for "conservative" debridement. ARNPs also, can only "conservatively" sharps debride. Only a physician can sharps viable tissue. Please do not mistake one for the other and put your license at risk or your patients.
unsigned ---- JS, |
| I am a nurse and currently working in the enterostomal arena. I need a widely accepted procedure for the irrigation of tunneling wounds and the solution/s used. Also I would like to know if silver nitrate creams are still accepted as good products for wounds caused by burns. Since this is a new field of nursing for me , please recommend resourse material. Thank you
Fred |
Fred, Do you mean silver nitrate or silver sulfadiazene (silvadene, SSD) cream for burns? Silver nitrate is a caustic chemical used to debride some tissue or to stop bleeding through chemical cauterization. SSD is still used since it is a broad-spectrum antimicrobial. Renee C., MSPT, MPH, CWS |
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