incontinence and pressure ulcers

[imadoll1980]

I'm usually pretty good about healing wounds but urinary and fecal incontinence are making it difficult with this wheel chair bound patient. We tried foam dressings but constantly falling off due to incontinence and went to a tegaderm hydrocolloid tegasorb that peeled off skin when took off dressing. Now we are using aquaphor 3x day. Seems better at first then worse. He refuses to lie down more. Constantly soiled with urine and stool. Help. My only other thought is Baza antifungal.

[Idaho_nurse]

I've been using Mepilex like its going out of style... Love it for incontinence being that it is waterproof and you only have to do wound care 2x week mainly. I use skin prep under it, then the mepilex. for open area's, I also like the Medihoney dressings. they work well as well.

Also, well taking off dressings on tender skin, make sure you are using adhesive remover pads. Keeps the skin from tearing

[imadoll1980]

I should have specified that the foam dressings I was using were mwpilex. Doesn't matter if they are water proof if stool is gunked under and on them. Off to the wound clinic this patient goes. I asked the doc office for this referral as I have nowhere else to go. Thanks for your reply.