Discussions By Condition: I cannot get a diagnosis.

pressure sore treatment

Posted In: I cannot get a diagnosis. 2 Replies
  • Posted By: Anonymous
  • March 16, 2007
  • 11:23 AM

my son has a spinal cord injury and a pressure sore on sacral area - what is best treatment for wound care and supplementation. Thank you.

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  • My father-in-law was bedridden and when a bedsore appeared the nurse used to lather up "sunlight soap" really lather it up, and apply it to his sores and this cleared them up. Apparently this is something that all "old school" nurses know about. Good luck.
    Anonymous 42789 Replies Flag this Response
  • First you must correct the cause, pressure. He must stay off his sacrum. Lie side to side or on his stomach. Any infection needs to be addressed, especially if it is in the underlying bone. It is not recommended that you use betadine, hibiclins or clorox solutions in the wound because they are toxic to growing tissues. Next, any necrotic tissue must be removed, this can be done by several methods. Mechanical, or the old wet to dry gauze and saline dressings pull off good and bad tissue. Autolytic, letting the bodies own enzymes and fluids liquify the dead tissue. Use a hydrocolloid dressing (duoderm) or transparent dressing changed every 3-4 days. Enzyme debridement can be done with prescription medications changed daily. Surgical debridement by a physician will convert the chronic ulcer to an acute wound and speed healing. New treatments of growth factors, negative pressure therapy (suction) and hyperbaric oxygen can speed healing. Nutrition must be optimized. Your best bet is to find a wound care clinic that specializes in spinal cord injured wounds or someplace that has nurses certified in wound care. Many home health companies have them and hospitals. Good luck, as we saw recently even Superman can be brought down by a bedsore.
    Anonymous 42789 Replies Flag this Response
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