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My husband has Parkinson’s with dementia. Has several pressure/ulcer wounds on the side of his left foot. I’ve tried to heal them with different medications, but to no avail. What should I do to heal these open wounds that I know are painful?
Thanks to all of you for the great information about how to treat my husbands pressure wounds on his foot. Got him to the Wound Care Clinic the next day after my post. Thank goodness he said there was no infection. He cleaned the wounds, put on medicated pads then wrapped in gauze. We change bandages every day. Gave him ultra-soft fiber filled heel cushion to wear at night. Told us to buy an eggcrate mattress pad for our bed. I feel like now, we’ re on the right track to getting his wounds healed. I can’t tell each of you how much your caring has meant to me. At times you feel so alone fighting this unknown disease. Any suggestions on what the best eggcrate mattress pad to buy.
I worked in LTC for almost 20 years as a Nurse Practitioner. I took care of a lot of residents with wounds, some pressure ulcers, some venous ulcers, and some arterial ulcers. The first thing that needs to be determined is what is causing the ulceration of the skin. If it is pressure, relief of the pressure is required, along with proper dressings, of which there are many. Venous ulcers can use a lot of the same dressings for treatment, but may also require additional types of treatment. Arterial ulcers also have different treatment. To get to my point, the first step is to have a specialist determine if the ulcers are pressure, venous, or arterial or a combination. Treatment will be determined from there. As others have told you, HHAs and Hospice frequently have RNs who are wound specialists. Best wishes and blessings on you and your husband of 70 years.
Cottie, you’ve received excellent advise here. I want to implore you to get him to doctor (even though it’s difficult.) These pressure points can turn into dangerous wounds quickly.
Does he have diabetes? I agree with Dee. These type of sores need to be looked at by a woundcare nurse. I would not try to heal them on my own. Gangrene can set in.
Have you informed his doctor about the wounds? If not he/she should be informed. Often "specialized" Wound Nurses are needed to help with the care of pressure sores. Are his shoes the root of the problem? Or is how he sits and rests his legs? Elevating the legs so the area does not rest on anything will help prevent more. Is your husband on Hospice? (you can call and see if he would be eligible) Hospice does send out wound care nurses if that is necessary but many cases the weekly nurse and CNA will be able to help along with your care. Make sure his socks are not tight. When he sleeps make sure that the leg is elevated to take pressure off the side. If he is a side sleeper make sure that the other leg is not resting on the leg under it so there is less pressure. A pillow or wedge between the legs can help as well as bending the other leg (looks like a laying down running position if that makes sense) OOPS saw your reply to DeeAnna and he is on Hospice so I would push for them to send a Wound Nurse out since it has been over a month.
Since your husband does not have any diabetes or circulation problems other than the pacemaker, there is a good chance that his wounds will heal. Please let us know when the wound care nurse sees your husband.
Wound care nurse is your best option. Follow her directions for wound care. He will need extra protein, vitamins and plenty of water to provide the building blocks for wound healing. If he wasn't a smoker, then oxygenation should not a a big problem. When his wounds are healed, please see a specialist for shoes to help prevent future foot problems.
First he would need to see a woundcare doctor at a Woundcare center for an assessment so the proper woundcare supplies are ordered. Then home health may come in if it’s a complex wound. If the family can be taught to do woundcare - (which is part of the HC nurse’s job to teach the family as usually dressings are changed daily “) then HC might visit once per week to measure the wound and assess healing. Venous stasis ulcers a take a lot of time to heal.
How many wounds does your husband have on his foot? What treatments did your husband's doctor prescribe for the pressure/ulcer wounds on his foot? If your husband has not seen a doctor about these wounds, then he needs to see his doctor ASAP. Ask the doctor if a Wound Care Nurse can be prescribed to visit your husband at home and to assist with the care of these wounds.
Thanks so much for your reply. He has 2 wounds. One middle side of foot and 1 on his ankle. when I first noticed them about 5/6 weeks ago, thought his tennis shoes had caused them. Started cleaning with peroxide and using Neosporin. Also soaked foot in Epson salt. Now hospice nurse is using Skintegrity wound cleaner and Iodine swabsticks. He’s also taking cefuroxime axetil antibiotics per primary dr. Going to ask his GP if he can get a wound nurse to come in. It’s difficult getting him to a dr. Thanks for your kind reply. Cottie1
Dad frequently gets leg and foot ulcers and we've had to rely on home health and on some occasions, wound care specialists. Those are definitely not something you want to let get out of control (which dad's have at times). With Medicare and his Advantage plan, the cost for treatment has been minimal for wound care specialists.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Any suggestions on what the best eggcrate mattress pad to buy.
Are his shoes the root of the problem? Or is how he sits and rests his legs?
Elevating the legs so the area does not rest on anything will help prevent more.
Is your husband on Hospice? (you can call and see if he would be eligible) Hospice does send out wound care nurses if that is necessary but many cases the weekly nurse and CNA will be able to help along with your care.
Make sure his socks are not tight.
When he sleeps make sure that the leg is elevated to take pressure off the side. If he is a side sleeper make sure that the other leg is not resting on the leg under it so there is less pressure. A pillow or wedge between the legs can help as well as bending the other leg (looks like a laying down running position if that makes sense)
OOPS saw your reply to DeeAnna and he is on Hospice so I would push for them to send a Wound Nurse out since it has been over a month.
Since your husband does not have any diabetes or circulation problems other than the pacemaker, there is a good chance that his wounds will heal. Please let us know when the wound care nurse sees your husband.
PS: Your post was NOT long at all.
Venous stasis ulcers a take a lot of time to heal.
What treatments did your husband's doctor prescribe for the pressure/ulcer wounds on his foot? If your husband has not seen a doctor about these wounds, then he needs to see his doctor ASAP. Ask the doctor if a Wound Care Nurse can be prescribed to visit your husband at home and to assist with the care of these wounds.
He has 2 wounds. One middle side of foot and 1 on his ankle.
when I first noticed them about 5/6 weeks ago, thought his tennis shoes had caused them. Started cleaning with peroxide and using Neosporin. Also soaked foot in Epson salt. Now hospice nurse is using Skintegrity wound cleaner and Iodine swabsticks. He’s also taking cefuroxime axetil antibiotics per primary dr. Going to ask his GP if he can get a wound nurse to come in. It’s difficult getting him to a dr. Thanks for your kind reply. Cottie1
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