wound care - pg.3 | allnurses

wound care - page 4

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. Visit  Rand profile page
    0
    Hi Gilda,

    OK, enough with the praise :spin:.

    Biafine is OTC. After a quick review of the Biafine site it appears Medix claims Biafine provides:
    * Deep Dermal Hydration
    * Selective Macrophage Recruitment
    * Emollient Action

    There's a list of several studies and expert reports, but unfortunately it doesn't appear that there are any RCT's. I suppose you can have the attitude of Bandaid Expert and use something 'cause you know it works.

    Regards,
    Rand

    PS The internet is a tremendous resource. And it's only going to get better.
  2. Visit  shygirl profile page
    0
    Rand,

    Okay, no more praise. I couldn't help myself. What is RCT's?

    Gilda
  3. Visit  Rand profile page
    0
    Randomized Controlled Trial

    Best is placebo controlled, blinded rct. For example in the case of Biafine...

    A significant number of patients are selected with wounds. They are randomly separated into 3 groups, for example names drawn from a hat (randomized). One group is treated with plain hydrogel and gauze (control), another is treated with Biafine and the third is treated with a cream that looks, feels and smells just like Biafine, but it's just the cream base of Biafine without the active ingredients (placebo).

    Best of all, no one doing the research knows which is the Biafine or the placebo (blinded).

    Guess what?... Very few studies exist like this for wound care products.

    Sad.

    Regards,
    Rand

    editing note: changed the "RCS" to "RCT".
    Last edit by Rand on Jun 3, '02
  4. Visit  shygirl profile page
    0
    Rand,

    Hi. We just got an admit from home today. She has Cellulitis of the lower R leg. I made sure that she was started on ABT as most cellulitis is bacterial (strep) and we make sure we elevate the extremity to avoid dependant edema. Anyway, MD ordered heat applications. I know heat increases blood flow to the affected area but, wouldn't cool compresses slow down the chances of introducing this organism throughout the bloodstream?

    Thanks, Gilda
  5. Visit  shygirl profile page
    0
    Rand, OOPS! Forgot to say thanks for the RCS info. Gilda
    Last edit by shygirl on Jun 2, '02
  6. Visit  Rand profile page
    0
    Hi Gilda,

    Whoops, just changed the "RCS" to "RCT" on my prior post.

    Hmm, cellulitis of the lower extremity... Does the patient have distal pulses? I ask because elevating an ischemic limb may be contraindicated. I don't think adding warmth to infected skin increases the risk of sepsis. Increasing circulation as you described might help with antimicrobial penetration and clear the infection quicker.

    Regards,
    Rand
  7. Visit  shygirl profile page
    0
    Rand,
    Thanks for all your help!
    Last edit by shygirl on Sep 4, '02


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