I have a resident that has an ulcer on her coccyx and have tried many different dressings and techiniques to get the dressing to stick. The ulcer is right above the beginning of the butt crack and that is where it will not stick.
Any advice would be well appreciated
Oct 11, '08
by achot chavi
We have an adhesive spray that is intended for stoma bags that could work, you didn't describe the wound so I dont know what stage it is etc, but what works well with wounds in this area is
1. showers every day with extra time spraying water on the wound and if you cant, do this:
spray water through a 20 or 60 cc syringe and a 21g needle to loosen debris ( if exists) or without the needle if the area is clean. pat dry with a (sterile) gauze pad
2. wet (saline or ringers lactate) dressings covered with a nylon glove and tape over the area In Israel they are called Tenderwet- dont know what its called in the US advantage of this dsg is that its good for 24 hours, enough time so body temp remains stable but allows the nurse to see how its progressing. It absorbs the exudite and any wetness and nourishes the wound. a moist environment is also good for cell growth.
with this dsg you have to cover the "healthy" skin around the wound with a zinc oxide cream or vaseline
Please give more details about the wound, so we can help- wonder if we could add pictures to this?
Last edit by achot chavi on Oct 11, '08
: Reason: missed an a