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This is a discussion on Skin Tear and Duoderm Question in Wound / Ostomy / Continence Nursing, part of Nursing Specialties ... I have a HH patient with a skin tear on the back of her LLL. The skin pretty much peeled off so...by bshaw96 Apr 7, '08I have a HH patient with a skin tear on the back of her LLL. The skin pretty much peeled off so there were no edges to approximate. I am by no means a wound care expert, so I just did what I'd seen done in the past. I cleansed it with NS, applied a vaseline gauze type product, and wrapped it with Kerlex and paper tape. The family is going to change it once daily. Well, she's a once a week patient and I didn't see her last week, another nurse did. Well, when this nurse saw her she got the tx changed to duoderm. I've never seen that on a skin tear before and it seems to me to have made it worse, especially when it pulls off, even after 3-5 days. She has very fragile skin and the idea of putting duoderm on it scares me to death. But again, I'm not by any means well versed in wound care, and the doc just goes along with whatever we recommend. What have been your experiences? I know when I worked in LTC we just put tegaderms over them or tegaderm plus if it was draining. We used hydrogel or vaseline gauze on the worse ones. But I've never seen duoderm for a skin tear. But being the newbie here, don't wanna step on any toes, especially not being that versed in wound care. Will the duoderm do the trick? Thanks for any input!
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- Apr 8, '08 by sharlynnI agree with you. I have never used Duoderm on a skin tear, just the treatments you described. The skin is too fragile where skin tears are common.
- Apr 9, '08 by txspadequeenRNapproximate the edges and put on some steri strips...simple and easy....
- Apr 9, '08 by sharlynnQuote from txspadequeen921you can't approximate if there is no flap without making a very mishaped scar. i've seen some- and believe me, it isn't pretty!approximate the edges and put on some steri strips...simple and easy....
- Apr 9, '08 by jnetteWow... have never put Duoderm on a skin tear either for the same reasons given above. We always do just as the OP descrbed.. works beautifully.
I agree.. duoderm would only cause more damage peeling it off.
- May 15, '11 by Nurse LenaI was very surprised when my colegue put a duoderm on skin tear of this elderly patient!!I had a hardest time taking it off and think more damage was done that good.I used Mepilex dressing which is extremly helpful in healing and does no damage to the skin whatsoever
- May 16, '11 by rainbowsandsunshineWorking in LTC, we also use steri-strips (if small and skin flap intact), or tegaderm (large or missing/altered skin flap)
- May 16, '11 by mommy.19I agree with the consensus here, adaptic or mepitel one over the wound and maybe a gauze wrap like conform or kerlix---duoderm is waaaaayyyy too adherent for fragile steroid-like skin.
- May 21, '11 by annaedRNlove xeroform and tegaderm. not even considered duoderm
- Jun 11, '11 by nola1202I love Mepilex!