I also posted this in Home Health, but thought the wound experts may have some advice.
I accepted this patient in the middle of her treatment. She has refused UNNA boots and the nurse had been applying polymem, changing q 5-7 days. Well, it had drainage when I first started seeing her, now its a hard/dry scab. Im still applying the polymem, but I am wondering now if its the correct treatment. Should the wound have this scab? Is that a good thing? It has gotten smaller, but the last measurement showed that it had gotten .1 cm longer, but had gotten narrower. What type of treatments are there for venous stasis ulcers, besides compression. This patient refuses compression. I plan to call the doc, but he is the type who depends on us nurses to decide the wound care. Any advice would be greatly appreciated, before I call the doc. Thanks in advance.