View Full Version : ? about Pressure sore and Rehab
Hi all, wanting to know if anyone had any estimated time of how long after having a graft surgery for a pressure sore is a typical "wait time" to begin therapy. I understand they don't want him bending too much but we want to make sure we don't wait too long. :thinking: Thanks All!
Where is the pressure sore at?
SCI-Nurse
10-11-2006, 08:19 PM
The standard time in our center is three weeks. Sometimes longer if the healing of the surgical wounds is delayed.
RAB
RAB,besides lying flat of their back,what can your patients do? What does rehab consist of after three weeks?
lynnifer
02-03-2007, 10:39 AM
Graft as in skin graft? I didn't think they did that anymore ... ?:thinking:
Lynnifer,I think she meant flap. By rehab,she seems to be thinking physical rehab as opposed to post surgical rehab.Lynn,how long were you hospitalized?
lynnifer
02-03-2007, 10:27 PM
A total of three months for my flap. Two weeks dosing on antibiotics ... then the surgery ... flat for six weeks ... then working up to sitting longer and longer for the last few weeks. But that was back in 1988.
I've had several skin grafts on my heels and they never took.
crppled007
02-03-2007, 10:38 PM
I had my flap on May 5 of last year on my lower back. I was flat for three weeks will actually four weeks since I got a colostomy done to. They started slow stretching after that, being careful not to go past 90 degrees.. I went in on the March 10 and got out June 14. From March to May, I was on wound vac.
I had my flap on May 5 of last year on my lower back. I was flat for three weeks will actually four weeks since I got a colostomy done to. They started slow stretching after that, being careful not to go past 90 degrees.. I went in on the March 10 and got out June 14. From March to May, I was on wound vac.
You were in hospital approximately 5 weeks post surgery. Did you use home health or go to rehab after hospital?
SCI-Nurse
02-04-2007, 02:08 PM
My experience is that most go to Rehab of some sort as home health may not come in often enough and many dont have tahe support they need at home initially.
aAD
crppled007
02-04-2007, 04:56 PM
You were in hospital approximately 5 weeks post surgery. Did you use home health or go to rehab after hospital?
i was at Baylor specialty (the wound care part) with a woundvac, they did wonders with it. then i went to BIR (Baylor Rehab)4 days before surgery.
A total of three months for my flap. Two weeks dosing on antibiotics ... then the surgery ... flat for six weeks ... then working up to sitting longer and longer for the last few weeks. But that was back in 1988.
I've had several skin grafts on my heels and they never took.
You were flat a long time. Seems like they would have tried limited sitting after 3 or 4 weeks. Guess your skin was slow in healing. I'd love to see them use scopes like they do in knee surgeries to reduce the need to damage so much skin. Since there are so few of us there is no pressure to improve recovery time . The medical model of disability has us cast as people who have nothing to do but lie in bed. Look at how quickly athletes are back in competition thanks to consumer demand for better methods of surgery,
SCI-Nurse
02-05-2007, 09:24 PM
Flat 5-6 weeks, program 2-3 weeks, strict sitting program/schedule,
rehab or LTC
able to lie on stomach?????
CWO
Flat 5-6 weeks, program 2-3 weeks, strict sitting program/schedule,
rehab or LTC
able to lie on stomach?????
CWO
I have problems lying on stomach as condom cath tends to pool and slip off.I didn't know rehabs had those special beds. How does one eat and do bowel program etc? How does turning on side affect things?
JakeHalsted
02-06-2007, 08:12 AM
Is prescribing a wound vac an automatic thing, or what? When I had a sore I was trying to close, the surgeon put my on a VAC for about 3 months. At various times he commented on protocol. Let's call him Blade...he was a military surgeon. Basically what he said was that in the military they use them for wound closure, but they change the dressings daily. In the civilian world (due to expense) they will only change a dressing once every two days. This causes opportunistic bacteria to get into the system, and slow the rate of healing. There is most certainly a point of diminishing returns, depending on the patient.