Barrier cream around wound edge

  1. 0
    My hsband has a stage 4 with osteomyeltis in the ishium area ( sort of) top of thigh, crease of leg and bottom of butt cheek it's about 4 x 4 x 4.6 . The skin around the wound kept masserating due to massive amounts of drainage even with using cal. alginate and tegaderm, as well as mepilex foam dressing to collect the drainage. He thought the barrier cream would be a good thing to use only around the egde of the wound to try to keep the masseration to a minimum which it seems to have worked is this a good idea or not. I would appreciate any help.

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  2. 3 Comments...

  3. 0
    Quote from jmarriednluvnit
    My hsband has a stage 4 with osteomyeltis in the ishium area ( sort of) top of thigh, crease of leg and bottom of butt cheek it's about 4 x 4 x 4.6 . The skin around the wound kept masserating due to massive amounts of drainage even with using cal. alginate and tegaderm, as well as mepilex foam dressing to collect the drainage. He thought the barrier cream would be a good thing to use only around the egde of the wound to try to keep the masseration to a minimum which it seems to have worked is this a good idea or not. I would appreciate any help.
    Barrier cream is a great idea. It will protect the area from further breadown. If the drainage is excessive you could try a thin layer of a zinc based protective barrier. I am so sorry that your husband and you are going through this ordeal. Has any nutritional areas been addressed and does he have a pressure relieving mattress and cushion?
  4. 0
    His pre albumine was low, I'm not sure on numbers, he has roho quadtro air cushion and we have a SAM mattress self adjusting, kinda like the air mattresses w/ a memory foam topper and wool mattress cover. This is the first pressure soer he has had since his injury in Nov. of 2002. It wasn't caused by the normal pressure but rather a masseration treated with the wrong dressing ( the only one I had at the time). Guess we need to start powdering his bottom, though I have been told powder is no good for vent patients, and I myself am allergic to most.
  5. 0
    Quote from jmarriednluvnit
    His pre albumine was low, I'm not sure on numbers, he has roho quadtro air cushion and we have a SAM mattress self adjusting, kinda like the air mattresses w/ a memory foam topper and wool mattress cover. This is the first pressure soer he has had since his injury in Nov. of 2002. It wasn't caused by the normal pressure but rather a masseration treated with the wrong dressing ( the only one I had at the time). Guess we need to start powdering his bottom, though I have been told powder is no good for vent patients, and I myself am allergic to most.

    mosture barrier is great..we used it all the time in addition to nystatin powder around the ostomies and it would clear it right up...


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