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Thread: Pressure Sore Treatment

  1. #1
    Senior Member martha's Avatar
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    Pressure Sore Treatment

    Ok folks. I've donned my flame retardant suit for any possible answers to this. A nurse friend told me that in the hospital where she works, they treat pressure sores by rubbing with milk of magnesia and then putting a heat lamp on it for 30-45 minutes several times a day. Does this make any sense to anyone? I thought I had read that they were supposed to be kept moist? As usual, I'm lost! Help!

    martha

  2. #2

    No way

    Has this nurse worked in the last 20 years? Both of these treatments are totally outdated, with no proven benefit and much potential harm!!! Rubbing a stage I is a perfect way to make it a stage II. There is no way that any topical treatment to unbroken skin can effect the deep tissues where the damage has already occured. Heat lamps are more likely to burn the person who lacks sensation, and do not improve healing. Exposing the open ulcer to the air and letting it dry (often with heat lamps) will also delay healing. Open ulcers should be kept covered and moist. This nurse is not a wound care expert, nor an expert in SCI, I would wager. (KLD)

  3. #3
    Senior Member martha's Avatar
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    Thanks Again!

    KLD, I knew I had to have your opinion before I tried that! It just didn't sound right to me. And you're right -- she has been retired for several years. It was starting to look better after 3 days in bed alternating from side to side, but he talked me into letting him sit up yesterday and last night it was worse again. Now in addition to the red rings circling the yellowish skin, there is a dark blue/black mark about 1" x 1/4". Is it time for the doctor?
    As always, thanks!

    martha

  4. #4
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    Stay on top of that sore!!!!!!

    Martha, at all cost stay on top of that sore. I am a paraplegic and I spent 2 and a half months in the hospital and another 3 weeks in bed because of requiring surgery on a sore that went totally bad.

    Progessed well past stage 3 and infected the bone. I have been back up for less than a month and I am going back to bed for wound care on the same area,,,, no matter what we did, it went bad again.

    If it is stage 1 stay off of it for several days, I know that is hard but you don't want surgery to be an option. Spinal Nurse is right about stage 2, Normal Saline and sterile gauze changed at a minimum of twice a day.

    Do not use any topical gels or antibiotics unless instructed to by a "Wound Care Specialist", not a family Doctor. Only time a SCI'd individual should see a family Doctor is if they have a cold, a mild UTI, or for HMO reasons needs a referal to a specialist.

    In 4 years of being in a wheelchair I have only had one pressure sore,,, that sore just happen to be "The Mother of All Sores".

  5. #5
    Senior Member martha's Avatar
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    Oops

    Max, Thanks for the heads-up. I think we've been screwing up all the way around. At first, he swore it was a spot of psoriassis (sp) breaking out, so we dabbed on the triamcinalone. Then it started looking "different" so I tried the bacitracin. For the last couple of days I've just done nothing but try to keep him off of it. Guess we'll continue to go that route as long as I can keep him down and see what happens from here.

    martha

  6. #6
    As my spinal cord Dr. says, " it's not what you put on them, it's what you take off (pressure) ".

  7. #7

    Pressure sore care

    From working with my son for 5 yrs.the key is to get the pressure off. A few weeks up front is better than months later on. We have also tried the following on 2 occasions and had very good success both times. Our neighbor, a surgeon who worked several years in a VA hospital was impressed with how fast and how well our recovery was. Remeber get off and stay of the area. Our home remedy is Aloe Vera, I buy an Aloe Vera plant at the local Fred Myers strip the inner skin off leaving the jellied inside and outer skin intact, I apply this piece ( jelly side down) which is big enough to cover the spot with a single strip of medical tape. I leave it on for 12 hrs. then remove and leave uncovered for 12 hrs. Using a new piece each time. Once on the road to recovery I reduce the aloe vera time and apply a small amount of ointment. cheers

  8. #8
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    Pressure sores

    When I had the problem, I put on a topical anti biotic ointment every day, twice a day. My goal was to prevent the possibility of infection. I also did electrical stimulation of my gluts twice a day for a month. I do it once a day now.

    Eric Texley

  9. #9
    Senior Member SKYCO's Avatar
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    HI MARTHA

    I have had a brutal bout with pressure sores.the main thing i found is to relieve all preesure around the sore.i had to have skin grafts that didn't take the first time and almost had to have an amputation of both legs below the knee's.the second graft took but not completly,so i change dressings once a day.i use a silver sulfadiazine cream but you will need a perscription to get it.
    good luck steve

  10. #10
    Senior Member martha's Avatar
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    Carrasyn V?????????

    Everyone -- thanks for your education and encouragement. We had to run to the hospital last night for a different problem, but while there I asked about the pressure sore. They used (and prescribed for home) Carrasyn V hydrogel Wound Dressing. Since this was a cardiac unit and not SCI related, I wanted to check if SciNurse thought this was the appropriate medicine or if anyone else has used this and their results. Thanks again!

    martha

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