Treating wounds in "sensitive" places

[ceebeeRN]

I serve primarily as a wound care nurse on my floor and I have one resident who some how developed a decubitus on his scrotum. The resident is on the obese side and his stomach overhangs on his scrotum causing the wound environment to be really warm and humid and in turn quite smelly. Right now, the order is just for cleansing with normal saline, patting dry, and applying a dry dressing. The wound didn't get worse but it sure doesn't look like its getting better and the odor...phew! Any suggestion for a new treatment and/or some kind deodorizing cleanser since Dakins is probably out of the question due to the location? Ouch!

[amoLucia]

Not to change the subject, but I have also known of cases of decubiti on the underside of the scrotum where it lies on the bedding surface.

[RNnbakes]

I will recommend using an antifungal powder to help with moisture

[yesitslaura]

Vashe is a new cleanser that we have been using lately with success. It is similar to Dakins but gentler, more chlorine like/less bleach like. I would definitely try an antifungal barrier cream or powder, and i would use a soft hand towel/chux or similar under the abdominal fold to give some air to that area, especially after a bath. Another thing that is great for odor is charcoal based products like actisorb, but a lot of insurances don't cover the cost of those.