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You have to be super diligent keeping the affected area dry because they get bad very fast.
Charlotte
They also had her lay under a light sheet without anything on her bottom for as long as we could manage it, as well as moving her often and relieving the pressure points.
I also used only bed pads so that the wound could breath and turned her as much as possible. Healthcare officials does not approve of the Clorox bathe, but it works 99% better than wet and dry dressings and they can’t stop the caregiver from using this method.
Meanwhile, the hospice should be able to provide some type of cream or dressing to treat the current ulcer.
This was actually one of the reason I decided to take her home from the hospital. It took 1 year and 2 months, but it eventually healed completely.
Sending you and your mom lots of strength.
It's a type of hydrocolloid bandage that is applied to pressure ulcers/sores and draining wounds without any ointment or salve. It heals the sores from the inside out and can be worn for up to 7 days. This has absolutely worked each and every time my husband developed sores in that area.
Speaking of the fragile skin of elderly people, these bandage come in regular sizes to cover other wounds and work equally as well on those too. The idea of covering a wound without an antibiotic ointment to have it heal seemed counter to my thinking. But now that I have first hand knowledge and seen the excellent results, I am a believer. Hope this information is helpful to those dealing with this situation.
Changing positions and getting up to walk if possible helps greatly.
A cushion in the recliner also.
These are the things needed to heal wounds: good circulation, good nutrition, good hydration, good hygiene, and good oxygenation. If she does not have all these pieces in place, it may never heal. If she is on hospice. it may not heal but that is no reason not to treat it or make sure she is comfortable.
My personal experience with my mom's bed sore which she developped in the hospital during her coma many years ago and unfortunately developped into 4th grade:
* no pressure on it and air ( no wet pad) are the things that helped the most
* turn her as often as you can, even if you have to hire someone for this (nurses in hospitals are so busy sometimes that don't have the time to do it often enough)
* hyaluronic acid also helped more than other things
* watch for other potential spots (elbows, heels)
* nutrition: proteins are vital, loss of weight your enemy. This is very important.
Definitely ask for help to the specialists.
All fingers crossed!
You also have good advice above.
All the best and prayers
Hospice usually provides the gel pads and pressure air mattress.
The hospice nurse is he best source to get on top of it asap.
So that means:
looking at the surface her bottom rests on. Is she in a chair or a bed most of the time? What kind? How often is she able to get up and move around, and if she isn't able to stand, with assistance if required, how can you encourage her to change her position?
If it's a chair, a riser recliner is best because its angle can be easily altered. Ask an OT to visit and advise on pressure relief.
If it's a bed, a variable pressure air mattress on a profiling bed is ideal.
But even with every conceivable gadget under the sun, frequent changes of position are essential.
As the ulcer isn't yet breaking the skin (are you sure?) I expect the hospice nurses will advise a barrier cream, especially if your grandmother is incontinent or unable to use a commode or toilet.
The more aggressive you are (you the team, that is, everybody who is involved in looking after your grandmother) about stopping this ulcer in its tracks, the better your chances of keeping it under control.
Is it troubling your grandmother? I would almost hope so, if it weren't for the thought of the poor lady's pain, because that way she's more likely to co-operate with your efforts than if she doesn't get what all the fuss is about. But of course I hope much more that you're able to keep her comfortable.
You do have to address the pressure point so tuck a pillow under her bottom so that she is off that side. Change her position during the day. You may have to add more pillows (different sizes) for comfort. One on her back, between her legs, etc. Ask hospice for advise if you need guidance.
Hopes this helps.
Let me know if you have any questions. This is new territory.
GOD BLESS!
This definitely warrants an immediate call to the hospice nurse.