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We had to get a new pump for her pad. We moved her position every 1-2 hours (day and night), kept the area clean, dry, and coated with cream. It take work and diligence to keep skin issues away and even more to clear them up when they occur.
I am sure your mom is in such pain. Sorry she is going through this.
I can't recommend a therapy as I'm not a doctor and it depends on many factors, but I can tell you what really did help:
* turning her every 2 hours, night and day (I know)
* getting rid of the 48 hrs patches and change the medication twice a day
* washing and rinsing the wound with a hand shower (sic!)
* getting rid of diapers and even underwear, which can often become dump and can lead to infections
* eating more and starting walking (this was vital!)
I know how terrible it looks and how anxious you must feel. I do feel for you, and for your mom, but hang in there, they can heal completely, almost against what looks possible.
One last thing: I eventually took my mother home against all doctors opinions, the type of care you need for this type of situations is unfortunately just possible at home, with a team of people helping you (a doctor, a nurse, a physiotherapist etc).
Sending you lots of strength and courage.
My sister who died last year after six months on and off (mostly on) in the ICU had a terrible bedsore on her sacrum at the time she died and for most of the last few months. They are terribly painful and it interfered with her treatment for her other issues because she couldn't tolerate being placed on her back for imaging tests, etc. Bedsores can become infected and result in sepsis. People occasionally die from the infection that results, although that was not my sister's cause of death.
Bottom line, talk to your mother's medical providers and make sure they do everything possible to treat the sore and alleviate her pain. They should be turning her regularly and using medicated salve on it, among other things.