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Thread: pressure sore in the same spot frequently

  1. #1

    Question pressure sore in the same spot frequently

    I need someone help with a pressure sore problem. Ever since 2008, when I had a drain tube in my right butt cheek because of a dangerously large peri-rectal abcess, I keep getting pressure sores over the site where the drain tube scar is. It heals up, and a couple weeks later, its back. It doesn't matter how many wheelchair push ups I do, how long I am in my standing frame, or what cushion I have tried (I have used a Varilite Evolution, a Jay Active, and a Jay 2 cushion so far), I still keep getting stage 2 pressure sores in this spot.

    Does anyone know how I can reduce this? The nurse that comes to see me once a month told me that if the sores keep coming back, I might have to switch to a power wheelchair with a tilt/space on it for pressure relief, which I don't want to do, because I want to use a manual wheelchair as long as I possibly can.

    Also, is there a different dressing we can try besides DuoDerm? I keep getting a red, blistery rash from the DuoDerm Thin dressing we recently have been using on this pressure sore.

    Jessie

  2. #2
    Senior Member Stormycoon's Avatar
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    Um wow.hard core sorry I would suggest if u can get it to stay cause I've done the same for my elbows and a temporary bad instant 1 on but from friction. ..um yes a sponge type material that will elevate the area but with a hole cut in it 4 air n such..Get the idea? If nurse responds she'll know the precise medical material in thinking.
    I am not your rolling wheels
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  3. #3
    Have you had pressure mapping done? But healed areas are about 80% as strong as normal skin/tissue.
    CWO

  4. #4
    Quote Originally Posted by SCI-Nurse View Post
    Have you had pressure mapping done? But healed areas are about 80% as strong as normal skin/tissue.
    CWO
    No, I have not. Do you know where I get this done at? The regular doctor's office, neurologists office, etc.?

    Jessie

  5. #5
    Work with physical therapy- seating specialist so good, full service rehab center. Any doctor can order it. They check your current cushion and check if you get a new one to make sure it set correctly or helps.
    CWO

  6. #6
    Quote Originally Posted by Stormycoon View Post
    Um wow.hard core sorry I would suggest if u can get it to stay cause I've done the same for my elbows and a temporary bad instant 1 on but from friction. ..um yes a sponge type material that will elevate the area but with a hole cut in it 4 air n such..Get the idea? If nurse responds she'll know the precise medical material in thinking.
    NEVER use donuts made from foam or gel!!! These can make pressure ulcers worse.

    A seating evaluation is really needed. You may need a custom made cushion such as a Ride to totally off-load this area. As CWO says above, scar tissue is always weaker and more vulnerable to repeated breakdown than normal skin.

    (KLD)

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