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Thread: bedsores on hips (hydrocoll thin is used)

  1. #1
    Junior Member igloo's Avatar
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    bedsores on hips (hydrocoll thin is used)

    Hello, I have bedsores on both hips. The doctor ordered me to use hydrocoll thin, which is a self-adhesive absorbent hydrocolloid wound dressing. The doctor told me to put the dressing on the wound from 3 to 5 days, but after the second day it started to stink of not fresh eggs. The doctor told me that it could stink but I didn't know what type of the smell it should be. I do not know whether it's allright or not. Could you please tell me something about that type of dressing because I've got them for the first time and I'm a little bit frightened because of that smell and the fact that one of my wounds is blood-red and rather dark. Thank you in advance.

    P.S. If you know any sensational dressings for that types of wounds, I will be really grateful for any information.

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    Senior Member pumpingiron's Avatar
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    Quote Originally Posted by igloo
    Hello, I have bedsores on both hips. The doctor ordered me to use hydrocoll thin, which is a self-adhesive absorbent hydrocolloid wound dressing. The doctor told me to put the dressing on the wound from 3 to 5 days, but after the second day it started to stink of not fresh eggs. The doctor told me that it could stink but I didn't know what type of the smell it should be. I do not know whether it's allright or not. Could you please tell me something about that type of dressing because I've got them for the first time and I'm a little bit frightened because of that smell and the fact that one of my wounds is blood-red and rather dark. Thank you in advance.

    P.S. If you know any sensational dressings for that types of wounds, I will be really grateful for any information.
    I have used something called DuoDerm its probably like the same thing you are using and yes it will smell after a few days and that is normal. You have nothing to worry about if it starts to smell.

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    Senior Member lynnifer's Avatar
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    The important word there is 'self-adhesive'. I hate self-adhesive! You know why? Because they don't let any oxygen into the wound!!!! They trap everything in there, macerating the skin (separating the healthy tissue around the wound from all the trapped moisture!) If you already have infection - then voila - in my opinion the perfect recipe for a bigger wound that looks worse. Not to mention the sticky stuff from adhesive can be irritating to skin that has poor circulation in the micro-capillaries of it.

    Have you been swabbed for infection yet? How deep are they? Xrayed? Blood screened? How long have these been there? What are they from? Are you sleeping on a mattress, other than a regular one?

    Personally, I like Coloplast Comfeels ... they're expensive as hell at over $100 CAN for a box of 5 (depending on size), but they provide a bit of cushioning to the wound, without being too bulky. I used to cut them to fit to save on dressing costs. I used Medipore tape as well, which was less irritating to my skin - but everyone is different with different needs.

    Again, can't echo this enough ... hope you're getting care from a wound specialist. If infected, call your local hospital or medical officer of health (not sure what the American equivalent is?) to get in contact with an Infection Specialist as well. That's half your battle right there.

    Good luck and rest up!
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    Compu-Derm too is another good dressing. The hydrocoll is more of a protective dressing. If there is any drainage though, Hydrocoll won't work, as you found out. CompuDerm is an absorbant dressing and I've been using it for 3 yrs now.

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    Junior Member igloo's Avatar
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    thanks pumpingiron, you made me feel more peaceful now.

    Thanks for reply lynnifer but hydrocoll is a dressing with a gas-permeable polyurethane cover which is imperameable to liquids and bacteria. My skin isn't macerating as well. One of the wounds is rather shallow - it looks like epidermis was peeled of and it's red from blood but I have to sleep on it, because the other one is deeper and it was cleaned last Friday by the doctor who cut out some bad cells from it. It looked horrible. It was one centimeter deep and today when I took off the dressing it was not as deep as on Friday and didn't look bad. I do not know why I have them but I suppose that they are from a very soft bed on which I had been sleeping when I was on vacation. I do not use any extra mattress to sleep, I use a regular one. Thanks for your advice.

    Patonb thank you very much. I will ask my doctor about it because I wanted my wounds to disappear as quick as possible

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    Senior Member pumpingiron's Avatar
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    Quote Originally Posted by igloo
    thanks pumpingiron, you made me feel more peaceful now.
    No problem

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    Junior Member igloo's Avatar
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    I would also add that I use the Zepter Bioptron lamp. It is said it's good. Have you ever use it?
    Last edited by igloo; 08-13-2007 at 02:27 PM.

  8. #8
    I would be careful of any lamp that may cause a burn. The theory these days is that moist wound healing is the way to go. The dressings that have been named are all that type.

    Be very careful laying on the one side. Can you lay on your back and bridge that area? Can you lay your belly? The more pressure you can keep off the area, the quicker it will heal.

    CKF

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    Junior Member igloo's Avatar
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    Hi, SCI-Nurse. From yesterday I started to use pressure pad and pump system in order to lay on my back without a risk of getting new badsores on it. I can also lay on my belly but only for a short time because when I lay on it longer my neck is aching me. That lamp that I mentioned does not burn, it's only a light that is suppoused to heal. I don't know whether I can lay on my back all the time or should I turn somehow. Thank you very much for your advice.

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    Super Moderator Sue Pendleton's Avatar
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    Quote Originally Posted by igloo
    Hi, SCI-Nurse. From yesterday I started to use pressure pad and pump system in order to lay on my back without a risk of getting new badsores on it. I can also lay on my belly but only for a short time because when I lay on it longer my neck is aching me. That lamp that I mentioned does not burn, it's only a light that is suppoused to heal. I don't know whether I can lay on my back all the time or should I turn somehow. Thank you very much for your advice.
    Can you find a place to just use sun? I think they have the same kind of rays and the sun is cheaper. I also like the Doctor's Choice hydrocolloid self-adhesive. It has a mild pain killer in the adhesive. You can find these on Drugstore.com or possibly in Warsaw, Berlin for sure. As they peel off as they fill with fluid new skin is not harmed.
    Courage doesn't always roar. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow."

    Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied and are based solely on my experiences as a SCI patient. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

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