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Thread: pressure sore

  1. #1
    Senior Member Sh0rty's Avatar
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    pressure sore

    I got a pressure sore on my ass awhile back and I have been putting zinc cream on it that the doctor gave me. It was doing well for awhile but it seems now that it was taken a turn for the worse for reasons I am unsure of. It kinda resembles a fresh picked scab. There is a break in the outer couple layers of the skin revealing a pinkish purpleish colour of skin. The sore itself is not that big. Should I continue to put zinc type cream on it or do something else? The doc is on holidays til the 14th. I have it uncovered...
    suggestions?

  2. #2
    What exactly did he give you? Was it Baza or some other ointment that include zinc oxide? If so, that is to be used only on unbroken skin or rashes, never on a pressure ulcer that is open. It is designed to protect the skin from moisture only, and does not aid healing.

    If it was actually Silvadene cream, it is OK to use on an open wound, but from what you describe, it is not the right treatment for this wound.

    I assume this pressure ulcer is on your ischium. That means NO SITTING AT ALL, regardless of what you put on it.

    The basic principles of wound healing are to keep it moist (but not wet) and keep it covered. Stop using the ointment. Cover the wound with a non-adherance dressing such as Telfa or Vasoline gauze or Xeroflow, then place a damp 2X2" or 4"X4" gauze on top, then cover with several dry 4"X4" pieces of gauze.

    If it gets worse, you need to see someone sooner than the 14th. Did you already make an appointment with your physician's office? You really need to see a wound specialist (nurse or physician).

    Meanwhile, jack up the amount of protein in your diet, add a multivitamin if you don't take one already, and be sure you are eating lots of green leafy veggies and fruit (should not be too hard this time of year).

    (KLD)

  3. #3
    Senior Member lynnifer's Avatar
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    Please tell me you didn't see one of the SCI docs at Parkwood in London who told you just to put some cream on it!?

    Take it seriously now, so you won't have to later ... or you're going to miss out on school in the fall/winter! Get your nutrition levels checked (iron, wbc, etc). A difficult place to keep infection out of ... try to locate a wound care nurse in your area or contact Parkwood (if they didn't give you the damning advice above). Can't rely on family docs for this stuff.
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  4. #4
    Senior Member Sh0rty's Avatar
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    thanx SCI nurse

    well Lynnifer we all know how great Parkwood is.....hahahaha
    They are the ones that gave me the cream in the first place...it is the baza stuff. I tried calling them again to have them look at it but the girl who I deal with is gone for a while. I am scared shitless because I dont want to miss my last semester or anything. I know my family doc wouldnt know what to do. It is where the ass meet leg type area and as I said it isnt that big. I am trying to stay off it which is hard for me because I cant just lay in bed. I am watching what I eat (didnt know before that could affect things) How do you get your levels checked? Could my fam doc do that?

  5. #5
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    I want to chime in on the nutrition. LOTS of protein. Unless you are a huge meat eater, you probably can't get enough just with you meals, so go for a supplement as wekk (boost, etc. . .. there is a thread somewhere about different supplements.)
    T7-8 since Feb 2005

  6. #6
    Senior Member Sh0rty's Avatar
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    Yeh, Im not a big meat eater...especially in summer months. I will have to read up on this a little further.

  7. #7

    Protein

    I am also trying to heal a sore, and want to add the extra protein with a supplement. How much of a difference will it make? My wife doesn't think it would be worth taking.
    -tw

  8. #8
    Don't use Baza!

    Stay off it. This is your ischium. If you sit, you risk getting a deep pressure ulcer that will take months to heal and require you to drop out of school. Stay off it now, and it may heal.

    Can you go to an ER or urgent care to get a more appropriate dressing or treatment for this wound?

    (KLD)

  9. #9
    Senior Member Sh0rty's Avatar
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    yeh Im not using it, by stay off it....what do you mean? Do I have to stay in bed all day or just more than normal? hahahah Im trying to laugh about this but inside I am freaking out

  10. #10
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    Shorty, sorry, but yea, thats what she means. I had a stage 2 sore, sounds like what you have. It was further up on my back, so it wasn't actually touching the cushion while I was in the chair. It went on for 9 months. Luckily it never got any worse. But it finally healed when I went on bed rest. It took 4 weeks .... I was allowed up a total of 2 hours a day, and I think that was ONLY because of the location of the sore. If you just go with it now, before it gets any worse, it will probably heal very quickly. I redamaged the area a few months ago, and as soon as I saw it, went right on bed rest. That time it only took a little over a week. Yea, it really sucks, but if it gets deeper, you are talking a lot longer. Check out some of PatonB's posts.

    tw - The protein supplement will make a big difference. Maybe someone could chime in on how many grams of protein you should be eating, but I know iI couldn't manage it just with meals. I think it is around 100 grams a day.
    Last edited by sjean423; 08-08-2007 at 03:18 PM.
    T7-8 since Feb 2005

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