Help with dressing!

[nurseMaM]

I have a pt with a gluten wound 4cm x .5 x 4. The wound bed is clean and red with small bloody drainage. What would be an appropriate order for this treatment? The pt is incontinent and paraplegic.

I just started working with wounds and I'm learning alot. But I'm having a hard time trying to figure out the appropriate treatment and dressings for each wound. There are so many ointments, dsgs, packing etc. Anyone know a good reference site or material that explains all this?

Help!

[Anna Flaxis, BSN, RN]

I'm unfamiliar with gluten wounds. You must mean "gluteal"?

Our wound care nurses are fond of foam dressings for wounds with moderate to heavy exudate. For wounds with little to no exudate, they like hydrocolloid.

[nurseMaM]

Anna- yes it's gluteal (autocorect got me again lol)

Update: the wound is between her gluteal fold and labia and measures 4×1×3. Wound bed moist 50% red and 50 tan/brwn and has little to no drainage. The current treatment is to apply hydrogel onto a packing strip and loosely pack then cover with silicone bordered gauze. My struggle is that the pt is incontinent and paraplegic and refuses to have a Foley catheter so the dressing becomes soiled and changed frequently in one day. I know this would will heal as long as I can keep the urine out and the dressing on long enough.

Some questions I have...

-Is packing necessary? If so, is packing strips right or hydrogel gauze?

-would a wet to dry be better?

-what kind of dressing would be appropriate?

Help!