followyourbliss

Hi Everyone, I have a challenging sacral/coccyx pressure ulcer stage 2 wound with incontinence present and the dressings we have tried are all slipping off, being peeled away due to moisture, heat, and friction. The gentlemen is very emaciated, in a...

Hi There, Any fertility nurses out there? I am new to the field, and haven't been able to find a Fertility Nursing Forum. I am loving my new job, it is alot more complicated than I had envisioned! Would love feedback, and to hear how other nurses fin...

Hi Everyone, I am interested in how many Canadian foot care nurses are on here? I am in B.C, and, just finished my foot care course. I am interested in what people are using drills besides dremmels, and why? Thank-you in advance, Follow your Bliss

Wounds, wound healing, and lack of healing are wonderful opportunities to sink our teeth into more education, etiologies, and the extrinsic and intrinsic factors that accompany wounds. After 2 years in the " wound realm" I find that this knowledge a...

Nettie01, Re: Malodorous wounds: It is in an atypical location: how long has it been there, and, has it been biopsied? Does it present with signs and symptoms of a Neoplastic process? ( cancerous). ie Friable, painful, raised, atypical borders, f...

Hi Swiss Miss28, Glad you posted! Skin tears, and the treatment of them is a particular interest to me. In addition to working in a Outpatient Wound Clinic I also work LTC. I have some easy, fast, and cost effective ways to approach skin tears that a...

Hi Fannies's Mom, I am glad you found the post helpful; I work in a teaching outpatient Wound clinic and recognize the value and importance of education and resources :) What I found helpful, and what was great for networking is shadowing: Ask to sh...

dbella24, Hi :) How exciting for you! I work in a specialized wound care clinic and it has changed me as a Nurse, and my practice- dramatically. Read up on the etiology and treatment of these ulcers: Arterial; venous; diabetic; pressure; neuropathi...

I encourage you to read the research and efficacy around using clean vs sterile technique and well as using regular tap water for cleaning as opposed to n/s etc. The Johanna Briggs Institute has the research and articles re potable water for wound cl...

Hi jmn126, When addressing ulcers with an etiology of PAD there are a handful of very important things to address: 1) offloading, offloading dressing, and footwear review with an Orthotist or pedorthist. ( accomodative footwear and orthoses) 2) OT as...

Hello Fellow Wound Care Nurses, I am a LPN taking a wound care course in B.C; I am loving it! Very in depth :] My question is this; what are you all using for skin tears? There seems to be some varying degrees of opinion on a) tegaderm, using fil...

Hi All, I am in B.C and looking at the program as well :) Nice to know a pod of us are all going through AU! I would love to keep in touch; I have not yet applied due to a general hesitancy I am having around the program. The more info I have the m...

Hi kwest99, I am an LPN that works in LTC, Neuro Rehab, and a Specialized Wound Care Clinic. My advice as to how to deepen your knowledge, experience, and confidence around wounds is a combination of all above with the addition of shadowing at a Wou...

Hi Tarryn, I am also in B.C; where are you? PM me!

Hi Everyone, Wow- I think that we have really gotten away from Confidentiality! Where I work, at a Wound Clinic, the patient has to sign a consent form; this is regardless of it being " just the wound". If " we" as Nurses and Clinicians can identify...

Hi tariq_ze, Can you please clarify if you mean aseptic, sterile, or clean? Are you asking about the protocol for dressing changes? May I ask: What information are you seeking; and then perhaps we can help direct a bit further. Are you a Nurse? A few...

Hi mymarie, How long have the stage 2 been there, and, are they getting worse or staying the same? Is she incontinent, or cathed? Is she mobile or w/c dependent? Has o/t been involved to evaluate for offloading? How is her diet? For me, what we are p...

Hi Everyone, I am new to Neuro Nursing,in fact, I am just orientating as well. To add to that I am also dealing with my hubby having a TBI Left Hemi; it happened a month ago. My question is, What pain meds are you seen being used to treat moderate t...

Hi Redfoxglove, Are you Canadian or American? If you are Canadian I know of several wonderful programs ranging from a few months all the way to a Master's in Wound Science- which my co worker has! I did my Advanced Wound Care online with a in person...

Hi, I meant to say that a skin tear, pressure ulcer, excoriation, incontinent associated dermatitis etc all have different causes and often accidentally interchanged and mis- labelled. :)

Hi Everyone, In regard to staging pressure ulcers; once it is staged it is always referred to as a Stage 2,3,4 etc. If it is healing it is a healing stage 2, 3 or 4. It can take years for the re-modelling of tissue, and even then it may only achiev...

Hi, Here in B.C they are all over the hospitals; all sorts of units.

HHnurse22, Where is the wound; and how are you treating it? I would describe it as hard adherent slough. Where I work the wounds are constantly "de roofed" exposing lots of soft slough etc. Perfect breeding ground :) Do you have a standardized Wound...

Hi, Yes, probably...that being said we all have our area that may still gross us out! Mine is respiratory mucous, phlegm etc...eeeww BUT you gotta do what ya gotta do! For me, I know most people are already upset that we, as nurses, are having to dea...

Hi, Has he been offloading? Without the issue of that being addressed the wound will likely stall or break down. Is he on any immunosuppressants, diabetic, renal issues etc? Any underlying eltiology with systemic issues is paramount. Being on a high ...