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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
474 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?

Yes: Yes because it can provide for a moist wound environment and protect the wound from desiccation and trauma. ...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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What's the first step in becoming a wound care nurse?

What's the first step in becoming a wound care nurse?

WOCN: The first step is to become an rn. Then you will be eligible to train as a specialized wound ostomy and continence nurse (wocn). For more information, go to:
http://www.Wocn.Org/?Page=become_a_woc_nurse. ...Read more

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Where can I find more information about wound care at home?

Wound care.: I'm not really sure what you are asking. If you want wound care to be performed at home, you can ask home healthcare nursing agencies. Most home care is provided through such agencies, which train and employ skilled nurses to provide home care. ...Read more

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Do I have to be a nurse to then become a wound care technician?

Do I have to be a nurse to then become a wound care technician?

Wound professionals: It is not clear what you mean by a "wound technician". There are multiple opportunities with wound care under many different professions. ...Read more

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What are the primary dressings and secondary dressings in wound care?

Dressings: Primary is what is on the wound directly; secondary is what is on top of the primary dressing. ...Read more

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When a nurse assesses a wound, what's the plan concerning wound care?

When a nurse assesses a wound, what's the plan concerning wound care?

The "Plan": takes into account the type of wound, location, duration, nature, size, presence or absence of infection, inflammation, depth and existence of any complicating associated medical issues among other things, ...Read more

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Is iodoform effective for wound care?

Is iodoform effective for wound care?

Yes: Iodoform is a cadexemer iodine paste preperation.

Great wound care product

turns into a clear gel after it has been in contact with a wound

one of only a few products effective against wound biofilm

must completely cleansed prior to reapplication

h. ...Read more

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I just need ideas about the use of honey in wound care.

Yes it is true -: Historical as well as current modern science has shown that honey does have medicinal properties for wound care. However not all honeys are equal at providing this and in fact some can increase risk of infection due to contamination. The best known commercial product for wound care is named Medihoney. I would stick with a product that is designed specifically for treating wounds. ...Read more

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Is it effective to use honey for wound care after i&d for abcess?

Medihoney: Do not just pour honey on a wound however the product called medihoney has proven very effective in wound care with good research to back this up.
Medihoney is produced under sterile conditions with further refinement into the final product. ...Read more

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Dr. Scott Bolhack
802 doctors shared insights

Wounds (Definition)

Wound = injury to tissue. May include ...Read more