what do you normally do for the white skin around a 'healthy wound'. I have went on call for a different office over the weekend, they are not good for their wound care. this poor patient has been getting daily wound care on this wound forever. wet/dry. I was the one that finally got the wound vac off him two months ago because I told them it was not working. we would change the wound vac every day. he was not but getting maybe 12 hours of 'good suction' everyday...so it was not doing good. now when I say him today, the wound is bigger, 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. he is a younger guy, he is alone, he is WC bound. if he was bedbound, had people to help him ya the woundvac would maybe work....but it won't. I have used on another patient Biafine before. I had never heard of it before but it was ordered per a wound care hospital then a barrier cream around the wound then an exudry or abd pad. Would this work on this patient? or any other suggestions?
This wound is right by the scrotum, it is 4cmx3.5cmx3cm. And like I have said he lives alone, and needs to transfer from bed/wc/showerchair etc.
any suggestions would be wonderful. and am I correct in saying when the skin right around the wound is white that is from maceration? or too much drainage? or what is that from?
This macerated skin is on the wound its self, I wonder if changing the
DuoDerm dressing daily might help, my husband prespires at the least
movement I mean really prespires and I am concerned the wound is getting
too wet inside, the reason its not healing. any ideas ? he is still refusing to go
back to the Dr even when I tell him there are other treatments or he could
lose his leg. He is starting to wear his stockings now ,I got some of that foam
roll stuff for his large toe but am going to have to start checking it 3-4 times
a day because he lets it get creases in it and looks like he's had a rubber band
on the leg. Thanks for any ideas.
Last edit by gaymac on Oct 2, '08
: Reason: mispelling