What meds do you use to treat your residents sores?

[PHTLS]

One of my residents has 2 coccyx sores that I treat alternately with Saf-gel and Silvadene. She also has deep tunneling on her sores that needs to be packed with strips.

I also use Normgel with another resident.

Calmoseptine (spell?) and others for high risk residents and those that had there sores heal. We all know that once they get those sores, those former sore spots are prone to be injured again.

[lovingtheunloved, ASN, RN]

I'm just a CNA, but where I work, the PCP orders a specific treatment. As far as aides are concerned we use A&D. Love that stuff.

[Nursenan0]

We have used a variety of different topical meds on many different types of wounds. Depending on the resident, nutritional problems, causes....... Recently our facility contracted a wound specialist. The docs nurse practioner visits our facility once a week and prn to assess and recommend treatments. She has also cut our treatment time in half, making the nurses oh so happy.

Nursenan

[CoffeeRTC, BSN, RN]

Is it clean or infected, any eschar or slough, drainage??? All depends on the wounds...

[debRN0417]

We have a wound care nurse that is specially trained and focuses only on treatment and prevention of areas in our facility. That is all he does. We have a wound care protocol and he works in conjunction with the interdisciplinary team to treat and resolve them. We use a combination of treatments and daily evaluation so that if something does not appear to be working, we change the treatment....of course all of this is per MD order. But nutrition plays a vital role in wound healing, of course and we work on that also with suppliments, vitamins and bloodwork to evaluate albumin and prealbumin levels when considering the suppliment use.

[CapeCodMermaid, RN]

I am the wound committee at my facility..(yeah I know, a committee of one). Each wound is different. We use A+D as a preventative and Xenaderm if the skin is a 'bad' stage one or two. It works great and is reimburseable by Medicaid.

[donmomofnine]

I LOVE Xenaderm! :balloons:

[PHTLS]

Besides A&D and plastic padding (joke), what medicines are you using?

[xmaxiex]

Xenaderm

Panafil spray

silvadene

[surfnbeagle]

One of my residents has 2 coccyx sores that I treat alternately with Saf-gel and Silvadene. She also has deep tunneling on her sores that needs to be packed with strips.

I also use Normgel with another resident.

Calmoseptine (spell?) and others for high risk residents and those that had there sores heal. We all know that once they get those sores, those former sore spots are prone to be injured again.

Every wound is different, we work up pts for nutrition levels and have a great wound care nurse. We have found that Accuzyme is twice as effective as PANAFIL. iTS actually healing a wound that the docs had predicted would sure end up with an amputation. But there ar so many variable, such as drainage, eschar, etc. good luck

[unknown99, BSN, RN]

If it a clean wound that is deep or tunnels, we use Carrysyn Gel soaked gauze. This stuff works wonders!!!

[javanurse2000, BSN, RN]

Has anyone ever heard of the tender-wet system? Used in the hospital. The solution is a LR base and then it has special pad to absorb drainage. I'd love it when I could get a hold of it for stage ll's but when I couldn't, I went with lightly packing with seasorb if puralant(sp?) if infected and hydrogel to biafine ointment if not infected. Good luck!