stage I, II, and a III

first I want to say...this website is wonderful. sometimes I feel like the nurses I work with are in a contest to see "who is better" and thats not me. I am in nursing for a reason...to take care of patients....not to be better than one nurse or the other. so when I ask a fellow home health nurse her opinion...she makes me feel like I know nothing...and should leave...when in fact I have been in home health 3 years longer than them, and want other view points to increase my knowledge base! anyways...

I have a pt that has three pressure sore...right on the top of the crack of the buttocks. I am not sure if that is the proper term. but she has a stage II on the left side, and then a stage I and then a stage II right below that. none are connected, they are all real small, I am not sure on how and why they are all different stages, but they are. I have tried duoderm, extra think duoderm. the caregiver says "it just folds over and gets ruined." the patient is a CVA patient, Left side weakness, and sits in her scooter all day. I have tried to get her to stay in bed more...which she doesn't even get in bed, she sleeps in recliner! so thought get her a hospital bed, she will not agree. They refuse, home health aides, Physical therapy, only really will let myself into their home. I was going to maybe do a hydrogel? dressing? but not sure on how to keep it on the area? or what would anyone else recommend?

thank you!
emily