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Thread: Stage two pressure sore - what to expect

  1. #1
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    Stage two pressure sore - what to expect

    I didn't realize the air was too low in my roho hybrid cushion, so I have a pretty nasty pressure sore now for the first time. Part of it is red and open like a popped blister and the rest is pretty dark bruising. It's on my left ischial(?). The right side is just red, maybe stage one. I have been in bed ever since finding out last night and am waiting on my doctor to call back.

    So I thought I would post on here and see what others who have had this happen have had to do as far as bladder/bowel/shower etc. go? I'm assuming I'm gonna be stuck here for weeks, just need to know what to expect.

    I also have a ride designs cushion. Could I use this to get up and around the house since my ischials/pressure sore would be floating in the hole that's cut out in the cushion?

  2. #2
    Its gonna suck! But i think you knew that. As far as bladder can you have a foley temporarily put in? Bowels stick a disposable chuck under you and do program on side. Shower are sponge baths
    T6 Incomplete due to a Spinal cord infarction July 2009

  3. #3
    You need to stay off the area completely. That means NO sitting or lying on that spot. I agree that a foley is a good alternative for being in bed, but if you can avoid it, do so. Bowel program needs to be done on your left side. And know that it will take a little more time to get results.

    You need to drink at least 2 liters (quarts) of fluid- preferably most of it water. And your diet should be high in protein, higher in calories and fiber. Turn at least every two hours. And have someone check that area at least twice a day.

    Good luck! Let us know how you are doing.

    CKF

  4. #4
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    Thanks. I have an appointment at a wound care center Thursday. Until then, is there anything specific I should be using on the sore like neosporin, etc. and should I keep it covered with a gauze all the time?

    I know you said no sitting on that spot, but if I got in my chair and went in the kitchen for a couple minutes to get something to eat and went back to bed, would that do much harm? Didn't know how strict I need to be.

    And what about using the ride cushion that floats the pressure sore?

  5. #5
    Quote Originally Posted by Brad09 View Post
    Thanks. I have an appointment at a wound care center Thursday. Until then, is there anything specific I should be using on the sore like neosporin, etc. and should I keep it covered with a gauze all the time?

    I know you said no sitting on that spot, but if I got in my chair and went in the kitchen for a couple minutes to get something to eat and went back to bed, would that do much harm? Didn't know how strict I need to be.

    And what about using the ride cushion that floats the pressure sore?
    Getting up to get something to eat, may not set you back much as long as you go right back to bed to eat. Can someone bring food to you in the AM to tide you over for a couple meals at a time. How about a small ice chest with packaged protein drinks etc. in your room that you can reach.

    I don't know anything about the ride cushion. I do know that cushions that use a cut out can transfer pressure to other parts of your bottom, causing increased pressure in other areas. Be careful.

    Good luck. These things take time.

    All the best,
    GJ

  6. #6
    As far as a covering if its open yes keep it covered with a dry dressing for now till you are seen then follow their guidelines.
    T6 Incomplete due to a Spinal cord infarction July 2009

  7. #7
    Getting up for 10-15 minutes will probably not effect the area, but GJ's suggestions are good ones. I don't know much about the RIDE cushion, but he is correct - there unfortunately is not any cushion, that by itself that will prevent problems, no matter what the manufacturer says. I am concerned about the areas that the pressure is transferred to. I would wait to use it until you see the Wound Care Specialist.

    Keep it clean, dry and covered for now. Change the dressing twice a day - if for no other reason than it forces someone to look at the wound. It does not take long for wounds to change for the worse. If you have drainage, than you may want to change it more frequently.

    Let us know what the Wound Care Specialist says.

    Good luck!

    CKF

  8. #8
    A pressure sore can form in just a few hours, however it will take a lot lot longer to heal. The best thing to do is make sure that your comfortable in bed, you got television, computer, things to do and keep you busy throughout the day. You'll find that within a few days you'll settle in and get used to staying in bed and it won't be so bad. If you've got a pressure sore that has been caused directly from sitting than sitting on it for any period of time can only cause harm. Mind you, I don't know if you've been pressure mapped, Roho do claim that you can still sit up on a stage 2-3 pressure sore and it will heal. However, that will probably Only work if your mapping is completely blue, no yellows or red hot spots whatsoever. I'm not sure I would like to be the one to advise someone to do this just in case it went Pete Tong. I think a lot of people would actually be surprised to see that their mapping isn't quite as good as they think it is.

  9. #9
    No sitting! It I not worth the risk. Mother biggest problem besides the pressure issue is that 10-15 minutes suddenly becomes 30-40 minutes. The whole, let me do just one more thing issue.
    ckf

  10. #10
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    Thanks for all the responses. The wound care doc said it was stage two, but didn't look horrible. He said obviously to keep pressure off. I asked about sitting on the toilet since the pressure sore sits on the inside of the rim, and he said that was fine. He wants me to keep it dry and covered, and to change the bandage at least once a day. I was expecting there to be some kind of cream to put on it, like I have had to do with burns. He said getting up in the chair to get something to eat/ect. was fine but I didn't need to be sitting for more than 5-10 minutes. So I guess I will be on the bed/couch for the next few weeks. He didn't give me an estimated time for it to heal since everyone heals differently, but he said it would be weeks not months. I already have one week out of the way, so hopefully it will get easier as they go by. Thanks again for all the advice.

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