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Doctor insights on: Prisma Wound Care

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HI!I HAVE DIABETES. AND HAVE A WOUND ON MY LEFT LEG .FOR A YEAR NOW I'VE WAS IN THE HOSPITAL JUST BEFORE XMAS. AND NOW THE WOUND KEEPS GETTING A SLIME ON IT . THE NURSE AND DOCTOR HAVE PUT MEDA HONEY ON IT NOW .BUT THEY HAVE USED TENDER WETS -PRISMA -SIL

HI!I HAVE DIABETES. AND HAVE A WOUND ON MY LEFT LEG .FOR A YEAR NOW I'VE WAS IN THE HOSPITAL JUST BEFORE XMAS. AND NOW THE WOUND KEEPS GETTING A SLIME ON IT . THE NURSE AND DOCTOR HAVE PUT MEDA HONEY ON IT NOW .BUT THEY HAVE USED TENDER WETS -PRISMA -SIL

I : I agree wholeheartedly with dr. Christensen's answer, and would like to add my own thoughts. It's been my experience too many doctors, of all specialties, get hung up on treatment of leg and foot ulcers instead of focusing attention on the cause. An ulcer is a symptom, not a disease. The key to the successful closure of an ulcer is to address the underlying cause. For instance: chronic venous insufficiency from varicose veins can cause an ulceration on the inner lower 1/3 of the leg. Since the underlying cause is blood stagnation, the blood needs help fighting gravity, so compression dressings are the most helpful. Diabetic foot ulcers over pressure points are the result of pressure and a lack of sensation. Thus, the treatment must address pressure above all. Chronic high blood pressure can produce leg ulcers on the outside of the lower legs. It doesn't matter what sort of goo is applied to these ulcers. To close them, the hypertension must be adequately addressed. Ulcers that arise from ischemia (lack of blood circulation) will only close if the poor circulation is addressed. In short, if the underlying cause of the ulcer is properly addressed, you could put mayonnaise on it and it will close. Likewise, if the underlying cause of an ulcer is not addressed, all the topical dressings, honey, antibiotics or the latest "miracle" dressing won't make a difference. So my unsolicited $0.02 here is to find someone who will take the time and effort to make a diagnosis as to why you've ulcerated. That is the key to closing this thing. ...Read more

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Dr. Heidi Fowler
442 doctors shared insights

Wound Care (Definition)

Wound care is steps taken to ensure that a wound heals correctly. Steps may include dressing changes, application of topical antibiotics or ointments, proper offloading, infection control, and professional wound debridement when indicated. See your physician and have them advise you on treatment ...Read more


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Is their any bacteria that is known to indirectly cause ulceration in skin healing? what other option are their beside Prisma , Xerform for skin ulcer

Is their any bacteria that is known to indirectly cause ulceration in skin healing? what other option are their beside Prisma , Xerform for skin ulcer

Yes: Several organisms cause or contribute to skin ulceration. Pyoderma gangrenosum is one. There are multiple therapies in wound care for difficult chronic ulcers. Okay to ask for referral to wound care center. Take friend with you to appointment. Be Well. ...Read more

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Could coloplast sheets for wound care really heal?

Could coloplast sheets for wound care really heal?

Protective: Primarily used to protect the surrounding tissues have little effect on promoting healing of the primary wound. ...Read more

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What are the benefits of hyperbaric wound care?

What are the benefits of hyperbaric wound care?

Hyperbaric medicine: There are several indications for hyperbaric treatments: some are scuba diving related, some are for rare medical conditions (aspergillosis, for example), and others are found illnesses that we see in a wound center like chronic refractory osteomyelitis, a wagner iii diabetic ulceration, or from specific complications of radiation. In all cases, the high oxygen helps raise the oxygen of the tissue. ...Read more

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What is a good nutritional regimen for wound care?

What is a  good nutritional regimen for wound care?

Nutrition: The best advice is to eat a healthy balanced diet. With that said, increasing the amount of protein can help tremendously with wound healing. There are many other suggestions for wound healing, but little else has been proven --in scientific terms-- to absolutely benefit the patient. Some of these other things are the use of additional zinc, vitamin c, specific combination of amino acids, etc. ...Read more

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Could you recommend a good nutritional regimen for wound care?

Could you recommend a good nutritional regimen for wound care?

Maximize: Your caloric intake with the proper percentage of carbohydrate, protein and fats at the total caloric intake for your body weight, and maintain recommended vitamin, mineral and trace metal daily requirements. ...Read more

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What are the 4 steps in wound care?

What are the 4 steps in wound care?

Wound care: 1. Identify & correct causative factors. 2. Provide systemic support for wound healing. 3. Initiate appropriate topical therapy. 4. Monitor the wound for progress in healing. ...Read more

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Do coloplast sheets for wound care really help?

Do coloplast sheets for wound care really help?

Wound care: Coloplast sheets can be helpful. Wound care needs a team and frequent visits. As your wound heals, the products used will likely be changed and modified. The costs of these products can be addressed with your doc and insurance coverage. There are less expensive options or alternative options. Good luck. ...Read more

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What is the definition or description of: wound care?

What is the definition or description of: wound care?

Care for your wound: Wound care is steps taken to ensure that a wound heals correctly. Steps may include dressing changes, application of topical antibiotics or ointments, proper offloading, infection control, and professional wound debridement when indicated. See your physician and have them advise you on treatment options for your wound. ...Read more

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Dr. Scott Bolhack
802 doctors shared insights

Wounds (Definition)

A wound is a condition in which a person has some trauma to part of his body in which the surface of the skin or some other organ has been broken open. Wounds include clean cuts, jagged cuts, avulsions (ripping away) of ...Read more