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Home health patient with a 3rd degree burn



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Sep 02, 2005 09:50 PM

Home health patient with a 3rd degree burn


I am a home health nurse who has a patient with a 3rd degree burn on his back. He is elderly and has other health issues that are impairing the healing process. I would appreciate any advice or suggestions on wound care (it is an area approx. 2.5 cm x 3.0 cm with red hypergranulating tissue.) The current wd care is nss cleanse-panafil spray-dsd change qd. Thanks!!


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5 Comments
No. 1
Old Sep 02, 2005, 10:57 PM

Originally Posted by nursechamois
I am a home health nurse who has a patient with a 3rd degree burn on his back. He is elderly and has other health issues that are impairing the healing process. I would appreciate any advice or suggestions on wound care (it is an area approx. 2.5 cm x 3.0 cm with red hypergranulating tissue.) The current wd care is nss cleanse-panafil spray-dsd change qd. Thanks!!
Keep him off his back and air circulating around the dressing as much as possible. Unless contraindicated, encourage high protein drinks.

Grannynurse
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No. 2
from Jessy_RN
Old Sep 03, 2005, 05:48 AM

I am not a nurse, but do want to welcome you aboard. Best wishes to you.
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No. 3
from Jay-Jay
Old Sep 03, 2005, 12:05 PM
Updated Sep 03, 2005 at 12:09 PM by Jay-Jay

As our WORN has taught me, RED granulating tissue = infection, especially if hypergranulation is present!! I suggest you try Acticoat or Actisorb (if there's a lot of discharge), burn dressing, or maybe get a script for Bactigras gauze dressing. Has a swab been done? Burns often get pseudomonas in them, in which case acetic acid (or vinegar) is the solution (no pun intended!)

** IMPORTANT NOTE: if you're using acticoat or actisorb, you must NOT use NS. This will inactivate the silver on these dressings. They must be used only with sterile H20. Dip the dressing in the water before applying to the wound.
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No. 4
from Fun2,RN
Old Sep 04, 2005, 10:40 PM

Welcome to Allnurses.com!

I'm not a nurse either, and it sounds like you have received good comments already.

Best wishes to you and your patient.
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No. 5
from prmenrs
Old Sep 04, 2005, 10:58 PM

I am moving this thread to the burn nursing forum.
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