wound that won't heal!

[libbyjo5]

My home patient has a decub that just won't heal. He is a teen paraplegic and the wound is on his buttock. He's been on bedrest for 1+yrs (not totally compliant). It has almost healed but then just opens back up. It's been opened and sewn closed more that once. Silver nitrate has been tried....Wound vac, packing you name it. Any experience,insight, suggestions for this?

[ChristinP]

Aquacell ag is a silver dressing but it I find if you pack the wound with the aquacell the gauze it encourages healing from the inside out. Of course I don't know the whole history as you do. Some insurance companies cover hyperbaric and after watching several patients heal from this I'd say it's worth looking into.