@leisel I’ve been bedridden 5 years and only ever had the start of a pressure sore after nurses forced me to be turned every 2-3 hours in hospital, including throughout the night. I was in so much pain 😣. I haven’t been able to to turn for 4 years due to 2 tubes in my stomach (stomas tear easy) + unstable neck/spine but not once had a friction or pressure sore at home. I’m either very lucky or every body is different! Does this only happen to overweight people, I’m very boney 😓, but maybe that’s my advantage here?
@@em68855 who tf are you? P.s. RN CWOCN here, I make the recs for dressing changes and write the orders because I am a board certified wound and ostomy care nurse.
This wound looks like it should be treated with a “wound vacuum” until it close enough to be treated as you describe. I was treated with a wound vacuum which encourages healing from the “inside out”.
I hated the vacuum so much! Packing and repacking was even better than the sound of the machine and trauma of dressing changes was better than that thing.
Great for skill test, but for real life, complete wrong… you need to pack tunnelling and undermining, applying a appropriate dressing with anti microbial properly… protect the peri-wound, apply an dressing the control exudate…
Lol I remembered changing my patient’s dressing then after 5 mins he took a dump and soiled his dressing. I was 15 mins away from endorsing the patient to the next shift.
I am not sure why this is a sterile dressing change? I mean if you are practicing sterile dressing changes fine, but this would never be a sterile dressing change in the real world.
I don't know why you can't just go straight into Nursing school after highschool. It makes no sense to waste 2 years of your life learning things that you aren't going to use in the real world.
@@charlieaviles7245 people need to stop being so greedy. Health care professionals such as doctors and nurses are in high demand. If we take away some of the burden such as being 200k-400k In student debt after graduating then maybe we'd have more of them.
I understand it to a certain extent. Getting an Associate's degree shows a level of competency that's higher than just a standard diploma. Maybe it could be reduced to a year-long course instead of an Associate's or something like that though.
You can but you still have to do prerequisites first. The reason why is becaue you do a ton of research in nursing classes and do write papers. You can't just go into these classes without knowing how to properly cite, type and explain research findings.
Great video,where can I buy that wound dummy,I am an Avanced Woundcare Rep,I would love to have it,I am in South Africa. I use 1% Acetic Acid to cleanse wounds and find it to be more effective than Saline water.
i had a bed sore that was cared for daily this way,although i couldnt see it it felt like the way it looks they did it in this video. sadly it ended up tunneling to my spine but after a vacc was added it helped my healing speed up
I could use some help. I'm caring for my Mom at home. Her pressure ulcer looks like a big spider bite right now. At first I used alcohol and neosporin. But it formed a white head. When the head bursted I started using alcohol and silvadene. Yesterday it looked like the skin was closing up but today it looks irritated like mild carpet burn. It still hurts when she adjusts but it's not like it was before. I can touch it with out her hurting. Her laying down or sitting noloher hurts. There's no hole or crater but when I read up on bedsores, the article said that you can't tell how bad the infection is from looking on the surface because the wound starts from the bone out to the top layer of the skin. So now I'm freaking out because I dont know if I am handling things right. I wash the bump and area around the bump separately from the other areas when I change her. I wouldn't say this other wise but luckily she is constipated soon can do controlled bowel movements. This way I never have to worry about a lot of fecal matter getting in areas. Of course that's never 100% but I'll take that along with dressing the bump to keep liquids and solids out. I change my gloves, and washing water etc... just for that area. I try to keep the environment as sterile as possible. Then I talked to her about just lifting her up through out the day. Like if I have to go to the bath room (for example) I'll stand her up for an length of time too so it's like she's standing more often. She can't walk or stand on her own so I have to hold her for a few min. I'm looking into designing my own mattress topper with a cutout in it. So far I've jimmy rigged something for her to sleep on but I need something more permanent. I couldn't find exactly what I wanted online. Any tips would be appreciated.
I'm a nurse in real life. A wound that bad is most likely gonna have a wound vac on it. It would never heal fast enough with just dressing changes like the one in the video.
I had infected c section wound and when it came time to do care the only time I felt anything was when they would hit healthy tissue when they were scrapping away the bad tissue. Otherwise it was usually just pressure.
Those "before you get started" steps are huge. Don't come in and start touching stuff without saying hello first and making sure the patient is aware and agreeing to the procedure.
This video is wrong in so many levels. The wound wasn't packed well enough Why would she measure the wound with a sterile cotton swab without being sterile, it contaminates the sterile cotton and the wound The disposable bag was touching the bed and an inch away from the sterile field with is something you never want to do, the bag goes in the floor. Why would she throw part of the liquid, cause saline solution is already sterile She didn't washed her hands with the standard procedure.
okay just wondering but knowing what certain things look like the infection is it all learn in nursing school right because idk what an infection looks like ^~^ I'm still a first year in uni btw
You should consider goggles/gown if there will be a lot of spraying. However, it is really not indicated unless there is reason to believe there is MRSA present.
@@TheDevilockedzombie well ATI teaches it that way so for someone studying the material it's fair to assume they haven't passed their nclex. Aka, proper ppe
I had a wound for 210 days that required daily packing due to an s. aureus after surgery infection, and what they don't tell you is those cotton swabs HURT, BAD. It was an oofer even with lidocaine, lol.
Great, but outdated... state now requires us to wash hands and change gloves a billion times between steps AND you can not use the same gauze to clean/pat multiple areas.
Emm Bee not the same gloves that you’re using to put in the new dressing. The old dressing is contaminated and you don’t want any of that to get back into the wound.
