Angela Wright said:Hey everyone, I stumbled upon this site http://www.medicalsupplies.com/care/index.htm while trying to help out on another thread about pressure sores, and I found a huge list of medical supplies for patient care. There aren't any prices listed—which I assume means they're expensive—but I'm considering whether we should invest in a Hoyer lift. Both my elderly parent and I are already dealing with some noticeable back issues.
When dealing with pressure sores, nutrition is everything.
The patient needs to eat well and be repositioned every two hours onto their side—though, realistically, it depends on where the sore is located.
As for dressing the wound, the most critical step is debridement. You have to remove all necrotic tissue—basically, any dead debris sitting in the wound down to the fatty tissue (I'm not sure how deep the sore goes).
Anything green or black must go.
Clean it down to the healthy skin edges and the healthy, bleeding tissue.
Dressing frequency depends on the stage of the wound, but three times a day is usually best.
Use a hydrogen peroxide solution, soak a gauze pad, apply it, and then rinse with 0.9% saline. It is vital to rinse thoroughly so the wound stays clean and dry!!!
After that, you can apply Rivanol to a gauze pad and cover the wound.
Instead of Rivanol, during the early stages, you could use a PVP (polyvinylpyrrolidone) solution (though it can cause allergies in some people) or a 10% NaCl hypertonic solution. The latter helps stimulate local blood vessel development and promotes healing.
Of course, you could also manage the wound using ONLY Octenisept (the newer solution)—strictly exclusively with that—but that type of dressing should only be used after the initial stage when the pressure sore has already developed.
Regarding creams and ointments:
You can use ointments, but only on the tissue that is already healthy and red.
Products like Flogocid, Panthenol, or Fibrolan should only be applied to the healthy edges of the wound, specifically the skin line. Otherwise, they are useless.
THE BOTTOM LINE:
Clean the wound as many times a day as possible.
Ensure the patient eats well. If you're struggling with wound hygiene, don't overthink it—just use soap and water to wash the wound.
Don't hesitate. The wound will heal if the body is vital.
Everything heals... feel free to use soap and water.
😬