selu1616

I'm a relatively new nurse and brand new to home health. Haven't had much exposure to wound care so need some help. Currently taking care of a patient who is a paraplegic with 4 pressure ulcers. Here are the descriptions for the wounds (For identifying purposes, I will assign a number to each wound). I will also list the current tx for each wound (these were the treatment choices in use when i took over the patient). Wound 1 is to right ischium, minimal serous drainage, stage 4, currently cleaning with wound cleanser, packing with calcium alginate, securing with 4x4 bordered island gauze dressing. Wound 2 is to left ischium, stage 3, hardly any drainage present, same tx as wound 1. One concern I have with these 2 wounds is finding a dressing to place over the wounds that will stay in place. I see the pt. on Mon,Wed, and Fri and every time i come back the dressing has come off. Wound 3 is to right lateral ankle, stage 2, heavy ss drainage, cleaning with wound cleanser, applying medihoney, covering with gauze then ABD pads, wrapping with kerlix. Wound 4 is to left lateral ankle, same treatment as with wound 3. I was using the medihoney gel but i just switched to the gauze impregnated with the honey because of maceration to the wound edges (the wounds are in such a tough spot to apply the honey and it gets all over the good tissue when i put the gauze over it). Switching to the gauze has gotten rid of the maceration but everytime i come back the dressings are saturated with drainage. So for all you wound care gurus, what tx do you suggest? Also, can someone please refer me to an excellent website, youtube video, etc. that provides wound care teaching (assessing, documentation, treatments, etc.). I can see that wound care will be a skill i do a lot in home health. Thank you so much and if you need anymore info just ask.