Re: [QUAD-L] Pressure sores Irritaion From Tape
I have been told by nurse to use skin preps before I use tape or apply my ileal conduit bag. Dana In a message dated 4/24/2012 10:04:57 A.M. Central Daylight Time, silverstre...@sbcglobal.net writes: Sometimes, the tape actually peels my skin. I have to use a little baby powder or corn starch. The problem is if I use too much powder, the tape won't stick at all. Candle Scars remind of us where we’ve been, they don’t have to dictate where we are going. ~David Rossi of Criminal Minds *** From: Paul Jacobson pjacob...@san.rr.com To: Monty aa999...@yahoo.com; Larry Willis lwillis...@yahoo.com; quadriplegic quad-list@eskimo.com; quad-list@eskimo.com Sent: Tuesday, April 24, 2012 9:33 AM Subject: [QUAD-L] Pressure sores Irritaion From Tape Hi...I have three Stage 2 wounds that are healing but my biggest challenge are not the wounds but the irritation on the surrounding skin from the 3M Micropore tape. I have used paper tape but that, too, caused irritation to the skin. Any ideas? Thanks, pj
RE: [QUAD-L] Pressure sores Irritaion From Tape
Hypafix works very well for me, also. I have had little to no issues with skin breakdown from that in the past. Lucinda C-4,5 complete July 31, '05 Mpls., MN --- On Tue, 4/24/12, Joan Anglin poaj...@sbcglobal.net wrote: From: Joan Anglin poaj...@sbcglobal.net Subject: RE: [QUAD-L] Pressure sores Irritaion From Tape To: 'Paul Jacobson' pjacob...@san.rr.com, 'Monty' aa999...@yahoo.com, 'Larry Willis' lwillis...@yahoo.com, 'quadriplegic' quad-list@eskimo.com, quad-list@eskimo.com Date: Tuesday, April 24, 2012, 1:11 PM The only tape that will work for me without breaking down the skin around a wound is Hypafix. It will work for quite awhile before breaking down the skin. Good luck. Joan
[QUAD-L] Pressure sores Irritaion From Tape
Good Advice from a Great Friend. From: sciinj...@aol.com To: wheelch...@aol.com Sent: 4/25/2012 3:37:46 P.M. Central Daylight Time Subj: Re: [QUAD-L] Pressure sores Irritaion From Tape I assume this person is being treated by wound care specialists but if not, he could try calling the nurse help line at Craig Hospital at 800-247-0257. Mercedes In a message dated 4/24/2012 6:44:11 P.M. Central Daylight Time, wheelch...@aol.com writes: From: pjacob...@san.rr.com To: aa999...@yahoo.com, lwillis...@yahoo.com, quad-list@eskimo.com, quad-list@eskimo.com Sent: 4/24/2012 9:33:14 A.M. Central Daylight Time Subj: [QUAD-L] Pressure sores Irritaion From Tape Hi...I have three Stage 2 wounds that are healing but my biggest challenge are not the wounds but the irritation on the surrounding skin from the 3M Micropore tape. I have used paper tape but that, too, caused irritation to the skin. Any ideas? Thanks, pj From: _Monty_ (mailto:aa999...@yahoo.com) Sent: Monday, April 23, 2012 9:12 PM To: _Larry Willis_ (mailto:lwillis...@yahoo.com) ; _quadriplegic_ (mailto:quad-list@eskimo.com) Subject: Re: Fwd: [QUAD-L] Pressure sore That is way too long and have you ever been tested for a bone infection? I have successfully conquered two of them, one of them my bottom and the other one just below my elbow. You need to see in infectious disease for this and if it shows a negative result. Then get a second opinion from a second specialist just to make sure. I had to travel two hours from my place just to find a doctor that would listen to me. There's only two wound clinics in my area, so after visiting the one two hours away was able to get everything done just under six months. The one on my elbow was that one I had to travel for and nearly had it for nearly 2 and half years. I had to do my own research on locating these doctors because my primary physician would not listen to me! I'm on Medicaid and Medicare so I had no out-of-pocket expense for these doctors except for my time. So the best thing is to do your homework and don't take no for an answer! Take care and good luck Monty of Indiana 3/4 complete post 18 years PS once they cleared up the bone infection, then they did a muscle flap to fill in that area. From: Larry Willis lwillis...@yahoo.com To: quad-list@eskimo.com Sent: Monday, April 23, 2012 8:29 AM Subject: Fwd: [QUAD-L] Pressure sore Wow, thanks guys. All good advice which I will most definitely follow. I have a feeling that if I could stay off it, it might improve as well. However, I stay by myself during the day and just can't stay bedfast. There is just no way to win in our quad world. God bless all of you. Sent from my iPad Begin forwarded message: Resent-From: _quad-list@eskimo.com_ (mailto:quad-list@eskimo.com) From: Eric W Rudd _c5sci97@gmail.com_ (mailto:c5sc...@gmail.com) Date: April 22, 2012 7:18:15 PM EDT To: _quad-list@eskimo.com_ (mailto:quad-list@eskimo.com) Subject: Re: [QUAD-L] Pressure sore I’ve had about a 1” – 1.5” by .25” – 3/8” sore since 2001. Received after seeing the so called wound specialists. My own self-care has kept it clean the same size. My primary doc, whom I see twice a year, is kept up-to-date via digital pix. I clean it w/ tap h2o gauze, apply a 4x4 folded in half, skin prep then Tegaderm...every a.m. Eric W Rudd _c5sci97@gmail.com_ (mailto:c5sc...@gmail.com) From: _Larry Willis_ (mailto:lwillis...@yahoo.com) Sent: Sunday, April 22, 2012 3:41 PM To: _quad-list@eskimo.com_ (mailto:quad-list@eskimo.com) Subject: [QUAD-L] Pressure sore I have a pressure sore on my tailbone that has been the bane of my existence for years now. It is not deep and has never been seriously infected. However, I have been fighting it for over six years! I have some feeling in that spot and sometimes it feels like a red hot branding iron. Bad! It is about 4in by 4 in. In the last several days it has begun to bleed profusely. I don't know whether this is good, bad, or irrelevant, but it is a first. Any of my buds here got any knowledge to share about it? Thanks. Larry Willis I use a Roho cushion. Sent from my iPad
[QUAD-L] Pressure sores Irritaion From Tape
Hi...I have three Stage 2 wounds that are healing but my biggest challenge are not the wounds but the irritation on the surrounding skin from the 3M Micropore tape. I have used paper tape but that, too, caused irritation to the skin. Any ideas? Thanks, pj From: Monty Sent: Monday, April 23, 2012 9:12 PM To: Larry Willis ; quadriplegic Subject: Re: Fwd: [QUAD-L] Pressure sore That is way too long and have you ever been tested for a bone infection? I have successfully conquered two of them, one of them my bottom and the other one just below my elbow. You need to see in infectious disease for this and if it shows a negative result. Then get a second opinion from a second specialist just to make sure. I had to travel two hours from my place just to find a doctor that would listen to me. There's only two wound clinics in my area, so after visiting the one two hours away was able to get everything done just under six months. The one on my elbow was that one I had to travel for and nearly had it for nearly 2 and half years. I had to do my own research on locating these doctors because my primary physician would not listen to me! I'm on Medicaid and Medicare so I had no out-of-pocket expense for these doctors except for my time. So the best thing is to do your homework and don't take no for an answer! Take care and good luck Monty of Indiana 3/4 complete post 18 years PS once they cleared up the bone infection, then they did a muscle flap to fill in that area. From: Larry Willis lwillis...@yahoo.com To: quad-list@eskimo.com Sent: Monday, April 23, 2012 8:29 AM Subject: Fwd: [QUAD-L] Pressure sore Wow, thanks guys. All good advice which I will most definitely follow. I have a feeling that if I could stay off it, it might improve as well. However, I stay by myself during the day and just can't stay bedfast. There is just no way to win in our quad world. God bless all of you. Sent from my iPad Begin forwarded message: Resent-From: quad-list@eskimo.com From: Eric W Rudd c5sc...@gmail.com Date: April 22, 2012 7:18:15 PM EDT To: quad-list@eskimo.com Subject: Re: [QUAD-L] Pressure sore I’ve had about a 1” – 1.5” by .25” – 3/8” sore since 2001. Received after seeing the so called wound specialists. My own self-care has kept it clean the same size. My primary doc, whom I see twice a year, is kept up-to-date via digital pix. I clean it w/ tap h2o gauze, apply a 4x4 folded in half, skin prep then Tegaderm...every a.m. Eric W Rudd c5sc...@gmail.com From: Larry Willis Sent: Sunday, April 22, 2012 3:41 PM To: quad-list@eskimo.com Subject: [QUAD-L] Pressure sore I have a pressure sore on my tailbone that has been the bane of my existence for years now. It is not deep and has never been seriously infected. However, I have been fighting it for over six years! I have some feeling in that spot and sometimes it feels like a red hot branding iron. Bad! It is about 4in by 4 in. In the last several days it has begun to bleed profusely. I don't know whether this is good, bad, or irrelevant, but it is a first. Any of my buds here got any knowledge to share about it? Thanks. Larry Willis I use a Roho cushion. Sent from my iPad
Re: [QUAD-L] Pressure sores Irritaion From Tape
skin-prep? Eric W Rudd c5sc...@gmail.com From: Paul Jacobson Sent: Tuesday, April 24, 2012 9:33 AM To: Monty ; Larry Willis ; quadriplegic ; quad-list@eskimo.com Subject: [QUAD-L] Pressure sores Irritaion From Tape Hi...I have three Stage 2 wounds that are healing but my biggest challenge are not the wounds but the irritation on the surrounding skin from the 3M Micropore tape. I have used paper tape but that, too, caused irritation to the skin. Any ideas? Thanks, pj
Re: [QUAD-L] Pressure sores Irritaion From Tape
Sometimes, the tape actually peels my skin. I have to use a little baby powder or corn starch. The problem is if I use too much powder, the tape won't stick at all. Candle Scars remind of us where we’ve been, they don’t have to dictate where we are going. ~David Rossi of Criminal Minds *** From: Paul Jacobson pjacob...@san.rr.com To: Monty aa999...@yahoo.com; Larry Willis lwillis...@yahoo.com; quadriplegic quad-list@eskimo.com; quad-list@eskimo.com Sent: Tuesday, April 24, 2012 9:33 AM Subject: [QUAD-L] Pressure sores Irritaion From Tape Hi...I have three Stage 2 wounds that are healing but my biggest challenge are not the wounds but the irritation on the surrounding skin from the 3M Micropore tape. I have used paper tape but that, too, caused irritation to the skin. Any ideas? Thanks, pj
Re: [QUAD-L] Pressure sores Irritaion From Tape
Uni-Solve makes an adhesive remover that works great and Medicare now covers it! Also a reprint: I have a friend who is charge nurse in a wound clinic and deals with the latest technology in wound healing. I feel that it would be wise to print this information, research it, and put it in use when needed. I am a bullhead and almost needed a 2x4 along my head to try using tea on my skin. I'm a believer. Here goes: I had an area in the groin area, measured 1 inch long and 1/2 wide, with little depth. Our normal treatment was washing the area with tea to change the pH in the area, applying Neosporin or something similar, apply zenaderm and then bag balm. The healing went back and forth, sometimes getting better then stepping back. Well, after hunting season I called a friend, RN at the local wound care center, to give us some ideas. The area first opened in August due to an attendant not seating me correctly. After looking at the area my friend suggested a treatment that they are using at the wound center. Many of us will stay with something that is tried and true, but we were going down that path and it did not work so let's try the new stuff. She recommended using a new dressing with Safetac technology. ( _http://www.molnlycke.com/us/Wound-Care-Products/US/Safetac-Technology/_ (http://www.molnlycke.com/us/Wound-Care-Products/US/Safetac-Technology/) ). The dressing is called Mepilex Border dressing, _( http://molnlycke.com/Global/Wound_Care_Products/UK/Product%20Sheets/Advanced/Mepilex%20Border.pdf_ (http://molnlycke.com/Global/Wound_Care_Products/UK/Product%20Sheets/Advanced/Mepilex%20 Border.pdf) ) similar to what I have known as mini island dressing. The difference between the two dressings is the Border Dressing uses a tape that is silicon based and does not damage the skin when removed or when you shift weight. The border dressing has a telfa style center but is very thin. A normal dressing would have bunched in this area and the border dressing does bunch to some extent, but less than the island dressing and is much less a problem. Everyone is aware of the white skin that surrounds a wound as well as whiteness in the center of the wound. The whitish film that is in the center of the wound is called bioberden A product called acticoat, was placed on the area then covered it with the border dressing. Although manufacturer states that it can remain on seven days she recommends only three or four days. The acticoat contains silver which helps to remove the white area and keep the area free of bacteria. After the wound is clearer of bioberden, we discontinued using acticoat and started to use another product Puracol AG+ which also has silver in the product. The Puracol was covered with the Border dressing and remained on three or four days. Puracol is a collagen product ( _http://www.allegromedical.com/wound-care-c541/puracol-plus-ag-wound-dressing-with-silver-p557629.html_ (http://www.allegromedical.com/wound-care-c541/puracol-plus-ag-wound-dressing-with-silver-p557629.html) ) the collagen is absorbed into the wound and promotes healing. We however did run into one problem. We were able to get a few samples on the border dressing but found that the pharmacies and medical supply centers in our area did not handle the product. Needing a dressing to keep Puracol in place we used Extra thin Hydrocolloid dressing a dressings similar to DuoDerm. Big mistake! This dressing although very thin folded inward and bunched on a lump, tearing the skin and causing yet another open area. The unfortunate part is that the original area was almost healed by this point and now we are working with a new area in an area that is even more likely to bunched up any bandage that is applied. We are using the border dressing and it is staying in place with the help of Medfix tape. I believe that the new procedures reduce the healing time. The original area which was open for approximately 4 months healed within two-three weeks. As I started to search the Internet to purchase the border dressing and Puracol AG+, IMPORTANT MUST BE AG+(with silver), I found some prices ridiculous. One vendor had the border dressings at a price of $75 but with a little searching I found them for $25. The same was true for the Puracol. In addition we will be using the silicone tape ( _http://www.molnlycke.com/us/Wound-Care-Products/Product-Selector---Wound-division/Tabs/Products/Mepit ac/_ (http://www.molnlycke.com/us/Wound-Care-Products/Product-Selector---Wound-division/Tabs/Products/Mepitac/) ) instead of the Medfix tape. Another tip for us that get yeast infections in the groin area, body folds and under breasts. I was prone to yeast infections and my friend also gave me a lesson. A yeast infection will remain in the skin 2 weeks after any visual signs are gone. I smell
Re: [QUAD-L] Pressure sores Irritaion From Tape
Glenn, You a VERY kind in writing such an in-depth email for us all to Benefit from. I myself have a chronic sore that never gets very deep, nothing beyond superficial, but it keeps me in bed from time to time. It seams like if I ride in my van to often, the sore returns and if I drive … it returns sooner. I'm sitting on a high profile roho that is checked every single day. I JUST ordered a brand new power chair with tilt/recline (which I had before, the tilt/recline that is) Quantum Edge. When I do get the chair I'm going to have an ezlock installed in the back of the van so as a passenger I can tilt/recline much, much further than as a passenger. Bobbie Sent from my iPad On Apr 24, 2012, at 11:38 AM, gah17...@aol.com wrote: Uni-Solve makes an adhesive remover that works great and Medicare now covers it! Also a reprint: I have a friend who is charge nurse in a wound clinic and deals with the latest technology in wound healing. I feel that it would be wise to print this information, research it, and put it in use when needed. I am a bullhead and almost needed a 2x4 along my head to try using tea on my skin. I'm a believer. Here goes: I had an area in the groin area, measured 1 inch long and 1/2 wide, with little depth. Our normal treatment was washing the area with tea to change the pH in the area, applying Neosporin or something similar, apply zenaderm and then bag balm. The healing went back and forth, sometimes getting better then stepping back. Well, after hunting season I called a friend, RN at the local wound care center, to give us some ideas. The area first opened in August due to an attendant not seating me correctly. After looking at the area my friend suggested a treatment that they are using at the wound center. Many of us will stay with something that is tried and true, but we were going down that path and it did not work so let's try the new stuff. She recommended using a new dressing with Safetac technology. ( http://www.molnlycke.com/us/Wound-Care-Products/US/Safetac-Technology/ ). The dressing is called Mepilex Border dressing, ( http://molnlycke.com/Global/Wound_Care_Products/UK/Product%20Sheets/Advanced/Mepilex%20Border.pdf ) similar to what I have known as mini island dressing. The difference between the two dressings is the Border Dressing uses a tape that is silicon based and does not damage the skin when removed or when you shift weight. The border dressing has a telfa style center but is very thin. A normal dressing would have bunched in this area and the border dressing does bunch to some extent, but less than the island dressing and is much less a problem. Everyone is aware of the white skin that surrounds a wound as well as whiteness in the center of the wound. The whitish film that is in the center of the wound is called bioberden A product called acticoat, was placed on the area then covered it with the border dressing. Although manufacturer states that it can remain on seven days she recommends only three or four days. The acticoat contains silver which helps to remove the white area and keep the area free of bacteria. After the wound is clearer of bioberden, we discontinued using acticoat and started to use another product Puracol AG+ which also has silver in the product. The Puracol was covered with the Border dressing and remained on three or four days. Puracol is a collagen product ( http://www.allegromedical.com/wound-care-c541/puracol-plus-ag-wound-dressing-with-silver-p557629.html ) the collagen is absorbed into the wound and promotes healing. We however did run into one problem. We were able to get a few samples on the border dressing but found that the pharmacies and medical supply centers in our area did not handle the product. Needing a dressing to keep Puracol in place we used Extra thin Hydrocolloid dressing a dressings similar to DuoDerm. Big mistake! This dressing although very thin folded inward and bunched on a lump, tearing the skin and causing yet another open area. The unfortunate part is that the original area was almost healed by this point and now we are working with a new area in an area that is even more likely to bunched up any bandage that is applied. We are using the border dressing and it is staying in place with the help of Medfix tape. I believe that the new procedures reduce the healing time. The original area which was open for approximately 4 months healed within two-three weeks. As I started to search the Internet to purchase the border dressing and Puracol AG+, IMPORTANT MUST BE AG+(with silver), I found some prices ridiculous. One vendor had the border dressings at a price of $75 but with a little searching I found them for $25. The same was true for the Puracol. In addition we will be using the silicone tape (
RE: [QUAD-L] Pressure sores Irritaion From Tape
The only tape that will work for me without breaking down the skin around a wound is Hypafix. It will work for quite awhile before breaking down the skin. Good luck. Joan
