I am a HH nurse . I have a client whom we've been caring for with a ST II wound to coccyx area. This is/will be chronic; she is WC bound, requires hoyer lift, hemiplegia. wound is clean, scant if any drainage, no infection. Base good color. , approx 1 cm x1cm with 0.25 cm depth
Wound is static- is not improving, is not deteriorating. Spends most of her day in wheel chair or recliner. Spouse wants her next to him as much as possible, and neither of them want her to be placed in bed to off load. Usually no dressing in place when we arrive for visit. We've tried everything from barrier ointments, medihoney, alginates, foam dressings and are currently packing with iodoform, covering with foam dessing. Looking for advice-- next step collagen powder?? How often to use? Cover with what? have been doing internet searches but not really finding anything other than ads for products. Not really a candidate for a wound clinic.. PCP looks to us to decide what to do with wounds.
Thanks for any suggestions or points to the right direction..
sign me, Stumped.