I have a Young 28 y/o female living in a LTC due to an open abd wound. it tunnels over 15 cm from 8-11 oclock.....this wound l and w is getting smaller but not the tunnel. the "weekend" manager ordered the smith and nephew for her over two or three months ago. this tunnel or what ever you want to call it...has NOT gotten better. this manager used to be the DON, so its like they do not want to listen to anyone. and it really makes me mad. I finally got the doctor to order TLC and pre-albumin....the levels where horrible. so we are starting with supplements and increase in protein. no infection. she is obese. what would you do?
My facility wants to use the smith and nephew because it is cheaper. I have "fought" for KCI at times. I think smith and nephew works for some wounds...but not all...like for KCI works for some but not others....I am in school at the moment becoming a WOC, and they are finally listening to me, but there has been two times I order a KCI on like wednesday, and when i get back on monday this weekend nurse has changed it out to smith and nephew!!!!!!!!!!!!!!!
suggestions for this patients wound? should I try another dressing? would KCI work?...the other measurements are
granulation...but as I see with the S&N...It looks "slick"...not the bumpy like with the kci.......what should I do? or suggest?