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Below are previously submitted questions answered by Clare. They are sorted by date with the most recent first. There are many pages of Q&As so feel free to browse through them or use the search box above to find a specific topic.


Wendy, NC Bed sore
Question How do you bath a person with a bed sore when it`s not dressed. What do I need to dress the sore properly. Pretty bad sore
Answer A bed bath or shower is acceptable with an undressed bedsore as water spraying on or getting into an open sore is not detrimental. Simple washing with soap and warm water is adequate for bedsores as they do not require sterile procedures like that of surg . . .
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Jo, NE Air Mattresses
Question My husband has been using a low air loss therapeutic mattress for almost two years while recovering from a decubitus ulcer on his tailbone. It has improved greatly, but now that he is stronger and up and about much more, how important that he continue wit . . .
Answer Air mattresses of course can be preventive of skin breakdown issues however sounds as if his increased mobility and strength may reduced need for such. Might just monitor skin closely for any recurrent breakdown. Also can use convoluted bed toppers (eggcr . . .
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s.ramaswami, MA unc0-op pt
Question any tips on treatment of stage 1-2 ulcers when patient is unco-operative with frequent turning and repositioning ? thank you-s.ramaswami
Answer You might try using hydrocolloid dressings on ulcers (with dr approval) which can be left in place several days and not require frequent changing but at same time offer some preventive pressure reduction. Also can try "egg crate" convoluted foam pad or al . . .
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Patricia, NY bed sores
Question Hi I recently discovered my mom got bed sores , is there any remedy we can use to heal her and for it not to come back? She is suffereing from dementia, so taking her to a hospital is out of the question
Answer Suggest reading short article on our website that may help at this link. "BedSores... Persistent Attention is Key to " http://www.carepathways.com/cto15.cfm . . .
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Gerry, VA bedsores
Question In the process of healing a bedore does it go BACK through the stages or does it just heal from the stage that it has become? Wierd question but a debatge among the nurses at a nursing home.Some say it heals back through the stages others say it heals fro . . .
Answer Basically I think of bedsores healing from the inside out. In other words tissue is layed down initially at the base or deepest area and works its way to the surface when healing is completed . . .
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Angela, TN in home care for a very small bedsore
Question My mother is caring for her mother who is almost 90 she is pretty much bed ridin but is taken very good care of, mom found a spot on her ankle bone and it looks about the size 50cent peice maybe smaller. We bought some save stuff called endit and have bee . . .
Answer Try using small pillows, wedges, or rolled towels to keep ankle area free from all pressure. Applying lotions and light massage can be useful to promote circulation. Ask your nurse if Tegaderm or Duoderm might be appopriate to aid healing if skin open. . . .
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CJ, CA sore on buttocks area
Question Should a board and care person be seen if they discover a line type cut on their buttocks, approx 3cm long and very thin - seems to be in the fold of skin - and what can be done for this - put duoderm on it? Thank you so much
Answer You can try Duoderm as might provide protection needed to facilitate healing process and prevent further breakdown. Perhaps only thinner tegaderm needed if superficial and can monitor progress. regradless would keep close eye on open area and if healing n . . .
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brenda, AK No Subject
Question Hi, i would like to ask regarding the proper use of douderm dressing. My father underwent spine surgery , it went okay however the wound seemed to have dehiscence and he dousn`t want to undergo any procedure agen(!) i have resoreted to using douderm dress . . .
Answer The manufacturer usually advises to leave the Duoderm dressings on for a few days and maybe change twice a week unless alot of drainage. It does not require any type of covering as a rule as is self contained.
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Jane, AK duoderm use during infection
Question If infection develops during the use of duoderm, can you continue to use it with antibiotics, or should you do multiple times a day dressing changes?
Answer I would suggest consulting with your MD about treating the infection possibly with antibiotics and temporarily discontinuing use of the duoderm until infection resolved. These dressings contain the drainage and may complicate the wound healing process. Th . . .
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Libby, FL Pressure sore still not healing
Question My 87 yr old dad got a pressure sore in hospital last May and it has still not cleared up. Are there any things I should be doing besides elevation, wet to dry dressings. I am even open to old nurses 'home remedies'. It occasionaly has drainage but for th . . .
Answer Dear Libby,Pressure sores can be very difficult to heal. The basic idea of treatment is based on maintaining a moist environment for the growth of new tissue within ulcer. Wet to dry dressings are OK for maintaining some moisture but limited to how often . . .
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