I am an RN in an outpatient clinic. We do a great deal of wound care. We use Johnson & Johnson baby oil gel with aloe for many skin things. Give it a try!



Happy Day!!! Kari
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Paula you could use hydrocortisone 1 %- it is an anti-itch cream sold over the counter.

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have you tried a HC cream for its antiinflammatory action?

Greater than .1% usually needs a rx i think depends on where you live

good luck

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Cira Care by Smith Nephew works well. There is also OTC products that help with scaring.
de Rn BSN

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Hello, Have you talked about this with your Gynecologist?
Another alternative is your area Pharmacist. They may be able to recommend an over the counter product.
Terri L. Harris RN
 

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maybe xray or ultrasound to look for foreign body?

Troy RN
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An X-ray of you injured area should reveal a foreign body and/or an abscess.
Have your injured hand evaluated by a Hand surgeon.

Toma, MS, APRN, CS, CWCN, CWS, FCCWS
 

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If you have no insurance go to your an area clinic. The MD can look at it and refer you to specialist if needed.
Terri L. Harris RN

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It is quite possible that you still have a small piece of glass in your finger. I would recommend that you see your regular doctor so that he or she can discuss treatment. Treatment might include local numbing medication and incision to remove the glass. Best wishes.

Carol Hall RN

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I am an RN treating wounds in an outpatient clinic. This sounds like a wound VAC patient. Using the white foam into the tract and the black foam for the TRAC pad, it will pull that drainage from the wound and encourage granulation tissue to fill the tract.



Happy Day!!! Kari
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With osteomylitis he would most likely have a fever and soreness/pain. Sinus cavities are difficult to heal and there are very few products to pack the wound. My suggestion would be to use a silver product. You could use a piece of iodoform gauze impregnated with silver or use the gauze and saturate it in a sliver gel product.
deRn BSN

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You might want to try a new wound cleanser on the market called Dermacyn Wound Care, made by Oculus Innovative Sciences. It is approved for wound cleansing, debriding and moisturizing and would be used in place of the saline to clean the wound. It is a safe, non-toxic, super-oxidized water. People are seeing excellent results by adding it in their wound care regimens.

CRD, RN
 

With stasis ulcers and scaling skin associated, I always use una boots and change weekly. They will heal the ulcers and with boot removal the scaling skin comes off. For my residents with excessive flaky skin I apply aloe vesta or atractain to the leg around the wounds then wrap with the una boot.
de Rn BSN

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Xerosis (excessing scaling of dry skin) responds exceptionally well to Ammonium Lactate 12% lotion BID or even QD. Depending on how extensive the dryness you can see marked results in from 3 days to complete healing in 3 months. Dorothy Kelly LPN/WCN LTC, Baton Rouge LA

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Try Elta Cream made by Swiss America
Will help decrease scaling and keep skin moisturized well
I use it all the time on venous stasis and diabetic patients, pts love it too
Sharon, RN NY

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Infra red heat lamps do help heal coccyx ulcers. They must be placed far enough away to not burn and left on only for prescribed time. Years ago we were to set the timer for 20 minutes and check frequently. This was a bid/tid tx. Hope it works./

BEE LPN Rural Manitoba
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I believe your wife has a big cirulation issue. Infa red lights should be avoided completely. The other methods of warming her feet are not a good idea either. With poor circulation she has decreased sensation in her feet and burning them is a big concern. Use extra socks instead. Duoderm is ok to debride but you didn't say what the wound looked like or stage of the wound. I perfer Santyl to debride and it can be used until the wound is completely healed. A light dressing is all that is needed to cover the wound. It is changed daily. She should see a vascular surgeon about revascularizion surgery. Until her circulation improves the wound will be very slow to heal. What is her albumin level? Ask the MD about this as well. A supplement may be required.
de RN BSN

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Try Anodyne Therapy, you can look it up at www.anodynetherapy.com. It is near infra-red light therapy. It is great for wounds of this nature and also to increase circulation and decrease pain from the neuropathy associated with diabetes. I have used this product, it works wonderfully and even helps to restore sensation. Look up the web site find a clinic near you that has the units for therapy use.


Kim Cash LPTA

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Infra Red Light, or Low Level Laser Therapy has been around for some time although not used much in wound care until recently. The most common form used, MIRE, is commonly known as Anodyne Therapy. The purpose of its application is to increase microcirculation, reduce pain and reverse symptoms of peripheral neuropathy. Although not approved for wound healing by the FDA, it has been approved for pain management and increasing circulation, the latter having a direct effect on wound healing.

Bill Richlen PT, WCC, CWS

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Anodyne (Monochromatic Infared Light Therapy) is a modality used to increase microcirculation and decrease pain. It is off label use (currently) as a modality to increase wound healing but is being widely used for this purpose as its ability to increase circulation is well documented. The website (Anodynetherapy.com) is an excellent resource.
Michelle PT,CWS

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If you now have a nice clean scab with no s/s of infection, you might switch to just using skin prep on a daily basis. This will help to continue to dry the scab and protect it doing the healing process until it is completely healed and falls off. You can continue using the skin for a couple of weeks to promote healthy healing and protection.
de Rn BSN

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Sulfa powder will not be effective over a dry "scab" as this is a barrier. Likewise, it is also a barrier that will slow down the migration of new skin cells to cover (and close ) the wound.That being said, generally you would be expected to heal better without the scab. Do not pull or pick it off, let it become moistened and wipe of the surface so no further tissue damage occurs. This can happen by applying a normal saline gel under the duoderm or even a soak with a warm cloth over the area.
Michelle PT,CWS

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Accuzyme is good for debriding....if it is granulating you should use panafil, for draining and infected wounds you can try iodosorb. Sometimes docs use silvadene to prevent infection.


Jennifer,RN.

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You mentioned draining??? Is the wound infected? I prefer Santyl. It can be used until the wound is completely healed and the product you are currently using must be stopped as soon as the wound is debrided. The product you are using is also painful to many patients, it burns and it will burn good skin. You can't get this on good tissue as for Santyl it will not hurt good skin. Since this wound is going on 8 months old you may want to try one of the many silver products. Use it for a couple of weeks to improve and jump start healing granulation. If the wound is shallow you may want to try Xenaderm. This is a newwe product. It helps with circulation, products and heals. We are having excellant results with this product.
de RN BSN

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Angela

Try using calcium alginate then cover with a non-bordered foam dressing and secure with mefix or omnifix. It worked with a wound I had in the past.

A.M.,LPN-Treatment Nurse

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Determining the appropriate treatment to promote healing is determined by the presentation of the wound (eschar, slough, fibrin, infection, bioburdon, edema, pressure distribution) and the cause of the wound. The underlying condition that caused the wound needs to be addressed. You do not state, is the wound venous, arterial, diabetic, traumatic? Squamous cell cancer should be considered in any wounds that are non healing after 3 months.
Michelle PT, CWS

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Angela,
I have a few questions, What stage is the wound?, Where is it?, What is the nutritional status of the pt? Have you been using an enzyme for the entire course of treatment? What are the patient's Dx? Recent lab values?, Pressure releiving devices? All these questions must be addressed.

C. Hall RN

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Look into Hydrofera Blue
Check online www.hydrofera.com
It's awesome!!!

SCohenRN