white skin around wound - Page 2
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Oct 3, '08 by lsyorkeQuote from bebop1we would change the wound vac every day. he was not but getting maybe 12 hours of 'good suction' everydayWow...that's not good wound care at all. Wound vacs should not be changed everyday, way to much trauma to the wound. Why was he only getting 12 hours of suction? And wet to dry is proven to make wounds worse, not better. Offloading the site of the wound is going to be critical. Pressure relieving pads and limited "up" time will help.and all they are doing is wet/dry with normal saline. they use only a 4x4 to cover it. the whole surrounding skin is white. when I arrived the dressing was soaked.
There are so many products that will absorb drainage and still keep the wound bed moist....a wound center is probably a good idea for this patient. - Oct 6, '08 by pressurefreeFirst off is the wound wet or dry? If wet then you want an absorbent dressing like silvasorb. Then you can add a unna boot. Then after that you can apply ace wraps that will help with the venous return. I have been working as a wound care nurse for the past year and the addage of compresion dressings have helped a great deal.
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Oct 6, '08 by gaymacQuote from pressurefreeThe moistness is caused by duoderm the Dr ordered and the patient prespires heavily, I am following the Dr's orders, but each time I change the dressing the wound looks worse, Have been able to get him to wear compression stocking most of the day, Guess I can try Ace bandage onFirst off is the wound wet or dry? If wet then you want an absorbent dressing like silvasorb. Then you can add a unna boot. Then after that you can apply ace wraps that will help with the venous return. I have been working as a wound care nurse for the past year and the addage of compresion dressings have helped a great deal.
the days he complains his toe is too sore to wear stocking. He goes back to the cardiologist on the 20th maybe he can convence him to return to
the vascular Dr. Thanks for your input
