wound care - page 2

I was wondering if anyone has any ideas on healing a stage three ulcer. It is located on the bunion of a 83 year old patient. She is IDDM, and currently her treatment is panafil. medicare will... Read More

  1. by   shygirl
    Hello Rand,

    I know for a fact that this resident does not put pressure on the affected area, nor does she wear ill fitting shoes. She is my patient in a nursing home. Maybe diabetic neuropathy is not the only "co-factor", maybe it's that she is immunocompromised. She is hyperglycemic and hyperglycemia impairs the ability of specialized leukocytes to destroy bacteria. Thus, maybe it is an ongoing infection. It somehow must not be trackable as her labs are not off. Thanks for all the advise! I checked out your site, it is really awesome. Now I don't have to waste allnurses.com's space to find answers to wound care......Gilda
  2. by   bandaidexpert
    Hi gilda. have you tried Biafine WDE? I have incorporated this in our wound protocols, this is great stuff. Change the dressing daily and ensure complete pressure relief. The directions for applying want you to cover wound with moist gauze, however, I have found it is more effective if you cover with dry dressing.
  3. by   Rand
    Hi Gilda,

    Thanks for having a look at my site, but I'd encourage you to continue posting here at allnurses.com. We all want traffic and interesting folks like yourself talking shop (discussing wound care), but I don't want to reduce participation on this forum. In fact, I plan on coming back here as well. If you spend some time searching my site or a general search on the web, you'll find other wound care discussions on several web sites.

    So, not to belabor this little nursing home resident's wound on her foot, but since there isn't a pressure component influencing the lack of healing, what do you think was the initial cause of the injury?

    Regards,
    Rand

    PS Don't mean to keep you on this topic. I'll happily drop the discussion if you've had enough
  4. by   Rand
    Hi Bandaid,

    Have the makers of Biafine ever produced any explaination as to their product's efficacy? A while ago I heard it had something to do with onions. I also remember a rep telling me they didn't know why it worked... Not really what I wanted to hear in the current climate of evidenced based medicine.

    Still, if it's relatively safe and cost effective, might be worth a try and evaluate for a clinical response. I know the plastics folks liked using it on burns. Radiation exposure isn't it?

    Regards,
    Rand
  5. by   shygirl
    Hey bandaidexpert,
    I have never heard of Biafine WDE. What is it?
  6. by   shygirl
    Hello Rand,

    I do not know the initial cause of the wound. She came to us 3 years ago with the one leg remaining. I will still come here to discuss "stuff", but I need to learn more on wound care in general....so I am also going to go to your site! Thanks, Gilda
    P.S. I am never tired of talking
    Are you an MD? You are very intelligent!
    Last edit by shygirl on May 30, '02
  7. by   shygirl
    I have to add to that in case anyone else is reading this. Sorry, I know that MD's are not the only intelligent people out there. But Rand knows alot of info....
  8. by   Rand
    Hi Gilda,

    It seems like I know what I'm talking about huh?!

    Fooled ya.

    Kidding...

    I've been an RN since the 80's. Lived awhile before that... love to tell people about learning to wrap legs, (ie, venous compression wraps) on a (thoroughbred race) horse farm. Went to nursing school to be able to apply to a PA program. Finished physician assistant training in '95. Certified in surgery and primary care. Worked in family medicine, ER, did some research (cardiology) then decided I wanted to specialize. Always loved wound care. Began as a nurse in acute rehab, saw some wounds... then a lot more in home health.

    As a PA, studied with Barbara Bates-Jensen at USC in California and went to work for a Curative managed outpatient center associated with a well respected burn center. Been "on my own" as much as a PA can... Working primarily in SNF's. Now that NP's, CNS's and PA's can bill Medicare, there are excellent opportunities for us in wound care.

    Hey, thanks for indulging me... probably more of an answer then you were expecting. Actually, growing up my friends would call it Randling when I'd go on and on and on... like on answering machines or even in conversation... guess I even do it here.

    All the best!
    Rand
  9. by   bandaidexpert
    gilda, it is amazing stuff, I have healed Stage III pressure areas on heels and butts in less than 2 weeks. It is a wound dressing emulsion(WDE). It is a water base. And to Rand: I don't care if it has rutabegas in it, it works. Yes, there are 2 types of Biafine, one for radiation burns as well. It is FDA approved, unlike Amerigel, which works well too. Medix Pharmaceuticals makes it. The main ingredient in Biafine is liquid paraffin. It seals the wound providing the moist healing environment needed to promote healing. I have been in wound care for 15 years and I am a firm believer in this product. It is cost effective too, our facility spends about 3 bucks a day on a QD treatment. Try it!!!!!
  10. by   shygirl
    Hey Bandaidexpert,
    How much does it cost? if it is resonable, I might get our wound care specialist to go for it? You never know.
    Thanks,Gilda
  11. by   shygirl
    Rand,

    How cute is that? Randling? As in Randling on and on.....
    P.S. You do know what you're talking about!

    Gilda
  12. by   Rand
    Yea, yea...

    So here's a link for one price for Biafine and here's another. Here's a link for more info on Biafine.

    Regards,
    Rand
  13. by   shygirl
    Rand,
    Thanks for the information on the Biafine. Wow, you like have all this info right there all the time? Is there nothing that you do not know? Some really interesting case studies and pics. How is it that I could order this product? I mean it came up like "add to my shopping basket" Isn't this a prescription only? Going back to links now, Gilda

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