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This is a discussion on Skin Prep and Duoderm in Wound / Ostomy / Continence Nursing, part of Nursing Specialties ... Has anyone ever used the skin prep pads under a duoderm pad? I'm new to HH, but I went out with the...by bshaw96 Feb 29, '08Has anyone ever used the skin prep pads under a duoderm pad? I'm new to HH, but I went out with the HH nurse last week. There is a patient with a stage 2 on her sacrum. They are having problems with the duoderm peeling off. She is bedridden, and is not moving around a lot, so it's not from that. In my opinion, it is from the wound drainage. Not much, but enough in my opinion to keep the duoderm from staying on for the time needed. In essence, it's getting pulled off everyday, and is making things worse. I suggested some sort of absorbent dressing. But HH nurse used skin prep to try to keep the duoderm in place. I've used skin prep with dry dressings to keep them in place, but never seen it done under a duoderm. Will this help or should we try a diff. course of action? I was merely observing that day, so didn't want to step on her toes. But to me the duoderm just didn't seem to be doing the trick.
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- Mar 1, '08 by annaedRNI have used skin prep under Duoderm with okay results. But, if the Duoderm is not working/staying on then it probably is time for something else. I hate those darn sacral ulcers...so hard to get anything to stay! I have used Calmospetine and covered with with saran wrap to keep it on...if there is a caregiver to frequently reapply it as well as frequently turn/reposition her. Allevyn is another one that may work if it will stick for you. But yes..as long as the skin is intact or only very superficially irritated skin prep is okay -if the skin is irritated maybe use the non-sting skin prep. But often the biggest battle for the patient is emphasizing and re-emphasizing the repositioning atleast q2 and making sure the caregivers follow through with it
- Mar 2, '08 by sharlynnI always use Skin Prep with Duoderm and sometimes cover it with Tegaderm or Opsite to keep it from rolling up.
- Mar 2, '08 by bshaw96Thanks guys!
- Apr 14, '08 by kidznurseI use skin prep with duoderm or allevyn adhesive on children's wounds particularly incised and drained abscesses I use hypafix or flexigrid in strips around the edges to reinforce and find that dressings stay on for 3-5 days.
- Apr 16, '08 by NRSKarenRNSometimes using Dudoderm THIN wafer, instead of regular product works better ---seems to slide better over sheet when pts squirming or being repositioned. Definately use skin prep and WAIT till it drys + becomes tacky key too, cover with dressing.
- Apr 25, '08 by lsyorkeWe've also had great results with using a tegaderm over the duoderm. It stops the edge rolling.
- Jul 6, '08 by gettingupthereI dislike duoderm intensly! When the edges roll, they cause more pressure. Also, isn't using something like tegaderm defeating the purpose? Duoderm is a permeable product, the tegaderm over it would be counterproductive. Also, duoderm shouldn't be used if there is drainage. Have also had duoderm tear skin when removed, especially that "old people" thin skin.
The allevyn, if there is drainage becomes too wet, can really cause masceration.
Those sacral wounds are really tough. Especially if they are incontinent.
Sorry to be a Debbie Downer, but those have been my past experiences with those products.
- Jul 6, '08 by sharlynnQuote from gettingupthereTegaderm is air and gas permeable also......... Also, isn't using something like tegaderm defeating the purpose? Duoderm is a permeable product, the tegaderm over it would be counterproductive.
- Jul 7, '08 by gettingupthereQuote from sharlynnThanks! This site is great!!!!!!!Tegaderm is air and gas permeable also.