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I would appreciate it if anyone has had any experience with treating pressure sores.  My 86 year old mother had a stroke nearly 5 years ago, the only thing she can do herself is feed herself.  We have tried to avoid her developing pressure sores, but have lost the battle.  We have treated them the best we can, but they seem to keep coming back or not healing properly. She is not bedridden, she is in a recliner most of the day.   If anyone can suggest anything, we would be so grateful.
Darlene
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billie jo

darlene,  don't think i can add anything to your question about pressure sores than you have been advised by doctors or reading info on the subject. i can you tell us how you handle them and maybe we an see if anything has been overlooked.

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BC
Pressure sores are difficult, for the very reason that they are the result of pressure on the same point for too much time.   You know that, already..  the more you can shift,  alternate the pressure, the better off you are.  Are you with her much?  Does home health visit?   Dad developed bed sores only after he was bedridden, (which happened rapidly) but was also the process of his body breaking down from cancer.  No return there, but Mom is different.

She has avoided pressure sores so far.  She gets up and moves around still.  Not the same, but she had an ulcer on the outside of her right ankle 3 years ago,  I can't honestly credit the healing with one thing or another, but more exercise (yeah, right) (there are chair exercises) increasing protein in her diet, and a wet to dry dressing, seemed to turn the tide.  The ulcer is gone.  There are packs for the sores made of sugar and Betadine paste which seem to provide a healing matrix.  " Egg crate "  type pads as well as the "sheep fleece" type pads in the recliner can help.  

Can you get her Doc to send a home health nurse to her home to analyze the situation?   That would be best.

This is the Mayo clinic link...  (all 8 pages)  maybe something here will help you and you Mom.

http://www.patentstorm.us/patents/5407670-description.html


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Thank you for your reply Billie Jo.  That's part of the problem, no one is really telling us anything except to try to keep her off her bottom.  That isn't really helpful.  She can't walk so she has to sit all day, except for the times we wheel her to the bathroom.  A visiting nurse said to bring her hospital bed out to the living room and have her on her side, that's is it.  We know pressure sores can be serious and we would like to nip it before it gets totally out of hand.  Thank you again for your reply.
Darlene
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BC
Sorry ACESIS,  That link is ok, but this is the one I wanted most to post

http://www.mayoclinic.com/health/bedsores/DS00570
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Thank you for your reply BC.  This mixture you were talking about, is it something you make up at home or do you purchase it?  We have had a visiting nurse but she only said to have her be on her side, didn't really help with giving us advice as to how to heal up the sores.  The sores start bothering her and she tries to move around then makes them worse.  I'm very interested in this mixture you used for your mother.
Thanks so much
Darlene
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Cathy w/a C
Darlene - my mom had pressure sores and the visiting nurse said to use moisturizer to keep them from drying out.  I alternated between  Lubriderm and Neosporin an antibiotic cream. The sores didn't go away entirely, but the cream seemed to help prevent them from getting out of control. Also putting a thicker pad under her as was suggested before helped relieve some of the pressure.  Cathy
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MaggieMay
Acesis
My mother had a stage 4 bed sore last year as result of staying in one position all the time and mutiple surgeries that kept her in same position.   She was sent to a wound care center and was given daily care that consisted of cleaning wound with saline solution,  putting senso cream and panefil cream,    She also was placed on a wound vac to help heal the sore.   She did heal very well but it took time and patience.   
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BC
ACESIS,   DARLENE,   While there are many reports of making  a paste of sugar and honey with betodine (not iodine) with success,  I would only go that way if I had no access to a wound specialist, or medical help was a failure.   (often the case.)  You can buy a great product called Wound Wash at Pharmacies, including Wlmart.   It is a pressurized saline solution.   It does a great job of cleaning.   Anytime you use hydrogen peroxide,  keep in mind it can be damaging to tissue.  Immediately rinse it away with sterile saline.   

Prevention is of course best, but but the best efforts can fail under certain circumstances.  Special air mattresses which change pressure points automatically at intervals can be prescribed by the doctor.   It is impossible to know what access you may have.   It is worth a consult with a wound specialist it the earliest possible date.   If that is unproductive, the sugar treatment can be googled.   bedsores - treatment- sugar.
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Maggie J
When my Dad was in hospice care, the hospital bed they provided had an alternating-pressure air-filled mattress pad to prevent bedsores.
 
I believe there are also special seat cushions available for the same purpose, but I have never needed one and don't know where to look for them.  Try a Google search, maybe?
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Frau Leigh

ACESIS, have you tried a sheep skin throw to put under her body?  or a vibrating seat cushion?  I'm always worried as Bubbe sits many hours in her recliner.  Even though we walk every day with her unsteady gate the sitting is always a worry but the sheep skin seems to help.

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billie jo

darlene, were exactly are the sores located? if it is smack dab in the middle it might help to have a blow up donut to use alternately. t would keep the wound from coming into direct contact with anything. covering it with a sheepskin or cotton towels to pad and allow for air to circulate. also the massage cushions do help the blood to circulate but i'm afraid the motion would be painful or depending on the style might cause more irritation. a walk every two hours would help keep the circulation going. in nh they have to turn a patient every two hours min. as long as she can still be mobile can someone get her to get up and take a short walk, even if it is just to the bathroom or a window, just to get up. as far as cleaning a wound i have no idea. i would listen to the folks who have treated them. if you do not have a prescription med for it ask a pharmacist for advice, they can be a good source of information. also there is a solutions for seniors link up above this post, scroll up. also a medical supplies store may be able to recommend something. let you fingers do the walking! it is too bad that you are not getting more information from the medical community. this is one of the biggest fears of caregivers. good luck.

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jeanine
Dad had a huge pressure sore when we got to him after his fall last summer which started from sitting in the un-padded recliner all day for weeks on end.  Everything you have already heard is valuable. We had wound care people working on it for months while in rehab.  At home, since the area is weak, I try to keep him moving, sit on sheepskin or gel cushions, donuts - change it up so the pressure is always a little different. That seems to work best. Have Dad sleep on his side and alternate to back or tummy helps, too.  They make special creams - the ones already named - which are great on a wound. Now that it is closed, I keep the area moisturized and put Neosporin on if it looks even a little sore.
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I would like to thank EVERYONE for all the great advice, I don't feel so "lost" now.  To answer Billie Jo's question, the pressure sores are on my mom's bottom, they are like blisters, I'm not sure if that's stage one or stage two, but whatever it is, we want to do all we can to stop it from going any further and hopefully to heal.  She is very uncomfortable and when she squirms around to try to get more comfortable, she opens the wound.
Again, thank you all for your help and advice, if you have anymore suggestions, I would love to hear them.
Darlene
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bigfoot

For my Mom,the wound center used silvadene (prescription) applied on the bed sore itself and it worked when nothing else had. If your mom is using Depends make sure the area is kept dry. They told us to use something like diaper rash ointment on the area around the sore to keep it dry. They also told us to make sure she ate plenty of protein and take extra vitamin C and a multivitamin with zinc in it to help healing.

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