Email - October 18, 2005

Wound Care Information Network

October 19, 2005

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Previous email questions & their replies are listed below. Remember, replies have not been validated for accuracy or truthfulness.

I was wondering how soon after an injury, granulation tissue, fibroblasts, and chondroblasts form? Also, does a person need to be alive in order for the body to produce these tissues? Thank you. EM	sorry, no replies
I'm looking for information and pictures of various types and conditions of wounds to show my students and newly qualified nurses. Please can you help? Anne Haines (district Nurse)	go to google.com and then images - they have everything known to man! Deborah Harris, BSN, JD, RN, CWCS Louisville, KY --- contact AAWM unsigned --- Anne haines (district nurse) : I recieved your massage about information and picture of various types and condition of wounds. I have high resolution picture about maggot therapy ( wound care with fly larvae ) that we perform this wound care method since january 2004 in one of the hospital in Tehran (IRAN). We would be glad that you and your student knew more and more about maggot therapy in IRAN. I put some larvae picture in my persian weblog that you can see them in this address : http://medicin.persianblog.com and my english weblog as : http://maggottherapy.blogspot.com If you want more information and pictures please send me an email as: iranmaggottherapy@yahoo.com Have good days : Shahram Sharifi --- Have you tried contacting vendors from various wound care product companies? They have lots of pictures and information, serving to advertise their products, that they will give out to market their products. Sara
I am a hospice nurse doing research. Can you please give me an approximate annual cost of wound care (decubitus ulcers or diabetes wounds) in this country. Thank you for your help. Helen Kimball e-mail hrkimball @aol.com	sorry, no replies
Best treatment for blisters on legs???? cellulitis..diabetic unsigned	Remember to treat underlying condition causing this - could be diabetes or immune disorder causing bullous pemphigoid, or could be an infection causing cellulitis. Having said that, I have used (concurrent with systemic treatment) silvadene (which is a broad spectrum antibacterial) and then xeroform and 4x4 gauze or ABDs to absorb and wrapped with kerlix (gauze wrap) and changed BID. The patient should be put on a diet (per MD instruction) as well and they will come out with legs that are brand new looking. Deborah Harris, BSN, JD, RN, CWCS Louisville, KY ---- adaptic. gauge, and kerlix wrap. change every 12 or 24 hours. IV antibiotics. COATY,RN,CWS.
I am looking for documentation on the proper handwashing techniques when doing wound care, particularly multiple wounds. Do you know where I could find this??? Please e-mail me at charpopovich@msn.com Charlotte	Hi there.. Your local Infection Control Specialist Nurse should have what you are looking for, I am from Exeter, Devon. UK and I once borrowed a machine from them that I could detect if someone had not washed their hands correctly - great for teaching!! Good Luck Mary - (Practice Nurse) Registered Nurse.
I have a wound that has hypergranulation tissue present. the doctor wants me to use silver nitrate to treat. how is this done?. is it beneficial? . and does it hurt the patient? thanks Carry	Carry, Silver Nitrate sticks look a lot like a match stick, you rub it over the hypergranulated area and it burns down the excess of tissue. Yes it does work and yes it does hurt. Tina (L.V.N./wound care nurse) --- It can treat hypergranulation, rolled under skin edges that aren't epithelializing anymore, and bleeders that arise during sharp debridement. The stick is activated by dipping into distilled water, not saline. The wound edges are protected by vaseline or petroleum barrier cream (you would protect the wound bed with saline soaked gauze if you were treating the wound edges). The tip is rolled across the tissue to be treated for up to a couple of minutes. The wound is rinsed with saline to deactivate the silver nitrate and stop the cautery. The wound is dressed and the patient seen the next day. The next day the black dead tissue can be debrided away easily. It can take more than one session to get the hypergranulation tissue under control. It is uncomfortable for the patient if they have sensation - I believe that you can use a sponge soaked with lidocaine on top of the wound prior to treating this way. Another way that is pain free to address hypergranulation tissue is to use a foam pressure dressing, that puts a slight degree of extra pressure over the hypergranulation tissue itself within the wound bed. That has worked well for me. Sara, PT, WCC --- Hi There.. I am a Practice Nurse and run a Leg Ulcer Clinic. Our Tissue Viability Specialist Nurse's recommend Dermovate Ointment for x3 applications. It works a treat.. Thanks - Mary, Registered Nurse, Exeter, Devon UK.
Hello! I have a quick question to ask. Under Medicare Guidelines, would multiple stage 1's increase level coverage? Or do the wounds need to be multiple stage 2's. Please let me know where I could locate this info. Thank you Sylvia	sorry, no replies
I have a patient who just finished a course of IM Rocephin for a diagnosis of cellulitis of the posterior calf. The wound area appeared healed and dry then a 0.3 X 0.3 X 0.4 opening appeared which is draining thick, creamy odorless exudate (30 CC) and today had drainage which looke like cottage cheese. Pt is afebrile with swelling aroung the draining opening.Any idea what could be going on? F Stanulevich PHN	INFECTION. get cultures. COATY,RN CWS.

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