txnrs1

I appreciate the third degree actually, am new to wound care, have been a charge nurse for 10+ yrs. on to the wound... entrance of wound is approx 3cmx2cm, undermining measured on clock formation ranges 1.5cm - 4cm..(no undermining from 4 oclock to 9 oclock). wound bed is red with pink granulation tissue to the edges. scant amt of lt yellow/green drainage without foul odor. surrounding tissue is pink scar tissue. Pt. has been treated since june2003 for decubs on every bony prominence and this is the last one to heal. have previously used sea-sorb packing. is being flushed out prior to packing with saline. Is actually a very clean wound, just can't get this last decub to respond to anything. Pt is on multiple vitamin supplements and 2cal oral supplement and takes this fair, maybe 60cc qid. :)

I have a pt. with stage4 wound with undermining to hip. is on q-turn bed, unable to turn and reposition per self. Is malnourished, and very poor appetite. am currently using atb ointment saturated strip packing without much improvement to undermining. any suggestions????