libbyjo5

Hmmm..hyperbaric O2 therapy..would insurance cover this? and Is the Aquacel Ag a silver drsg? they have tried the silver I know. As far as himself researching, he is dev. delayed and that is not in his realm of capabilities, but his parents could. thanks everyone for giving me more to look into!!

Thanks everyone! yes, he has been on an air mattress, he has a G-button and gets supplemental feedings over night of Isosource 1.5 cal. He has no diabetes. Tried the silver. And as far as keeping pressure off it, that something that the family could do just a little better with. I'd say that they are 90% compliant with that. They get to feeling sorry for him and let him up in his wheel chair sometimes and then when he has a Dr apt. he has to be up. I don't think they've tried Granulex, unless it was before I came. I will check! And I will do some research about the skin graft thing! When it does start to heal, it wants to heal on the outside first and meanwhile the wound tunnels inward! That is why the Dr keeps opening it up. I know this does happen to paraplegics especially, but it is frustrating!!!

My home patient has a decub that just won't heal. He is a teen paraplegic and the wound is on his buttock. He's been on bedrest for 1+yrs (not totally compliant). It has almost healed but then just opens back up. It's been opened and sewn closed more that once. Silver nitrate has been tried....Wound vac, packing you name it. Any experience,insight, suggestions for this?