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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
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Have been to the hospital this week 3 times as mother keeps removing bandage and honey plaster. How long does it take for an ulcer to heal and how often should the honey plaster be changed.
It can take several weeks for an ulcer to heal, depending on other medical conditions (CHF, diabetes, poor circulation, etc.), the location of the wound and wound treatment. I'm assuming since your mother keeps removing the bandage she has some level of cognitive decline and that complicates wound treatment. My experience has been seniors with cognitive problems pick at or worry over a bandage that they can see or that is causing some level of pain or itching. Sometimes a topical antithetic can provide a couple of hours of discomfort relief. Sometimes wearing clothing that makes it more difficult to see or touch the wound helps keep the bandage on a little longer, although the extra clothing may make some other care aspect more difficult to manage. If your mother tends to pick at the actual wound once she gets the bandage off, I suggest you keep her hands as clean as possible. I used a washcloth and soft bristled hand brush to clean hands and under the nails as often as my father would tolerate.
My understanding is that plasters should be changed at least daily, more often if the wound is weeping because you don't want to wound to remain "wet" in the weeping fluids (moist is very good, wet is not so good). I suggest checking with your mother's doctor or a nurse practitioner about her wound care. I have found nurse practitioners often have better hands on care advice while still being aware of medicines or bandage types that aid healing. I also placed a "pad" made from a folded sheet under the wound and replaced that each time the bandage came off.
Josie99 ; I would look for a HOME HEALTH to go right to your house so you do not go to hospital all the time.Or I would call Vitas they will do wound care its comfort management also I know for a Fact that vitas hospice is one of the only hospices that use antibiotics if your mom needs antibiotics vitas will comply .My Aunt had celluitis in her legs & vitas gave antibiotics to her just 2 months ago.
I agree with a woundcare nurse. They know what to look for if problems come up.
When my Moms bandage kept coming off, my daughter, wound care RN, took a sock with a long stretchy top and cut the top off. She then put it on Moms leg covering the bandage. So it wouldn't get wet, she wrapped Glad Press and seal around the bandage covering the skin on top and bottom. Gives a great seal and comes off easily.
You want to get a specialist wound care nurse onto this. They are the ones with the expertise in applying the dressings so that they're difficult to remove, and they can also show/tell you what to do if/when it happens.
In particular, how to manage and change the dressing depends a lot on the type of wound, its location, and what dressing exactly is being used. Some of them you *don't* take off for quite a while and there are good reasons for it.
Healing time will depend on so many factors that it's impossible to say - again, your wound care nurse will be your best source of advice. Who is currently leading this treatment (I mean, what sort of practitioner)?
Olive oil is also very soothing and heals wounds quickly, and an activated charcoal poultice with olive oil will prevent and control infection in and around the wound. Depending on the depth and size of the wound, i would say you should see improvement within three days, with complete healing in about a week. Do not use tape to hold it on, instead use vetwrap. It is not sticky like tape and will not burn the skin, instead it sticks to itself via tension. Happy healing and to God, the Great Healer, be the glory!
I wouldn’t do this without a doctor’s order. No offense meant. Charcoal is not antimicrobial (if you can site a source for this I would be very interested to read it). Olive oil to my knowledge serves no purpose as a dressing besides being slippery.
Venous status ulcers take weeks to heal. Sometimes the patient may need an ultrasound of the blood vessels in the person’s leg to check for blockages in blood flow and maybe a stent placement or angioplasty to restore blood flow as the area needs good blood circulation to heal. So many factors.
Home health is the best way to go. All the other answers are great. I use Bag Baum on my mom alternating with clear patches. She seems to leave them on longer.
As TNtechie stated it will take weeks for leg ulcers from lymphedema or chronic PVD to heal. That’s because of compromised blood circulation to the legs, depends on if she keeps them elevated and depends on her nutritonal status as well. If your mother’s serum albumin is low she will have a tendency to have more LE edema as well. Albumin level is one indicator of the person’s nutrition. I will bet your mother has a low albumin (<3.5). Albumin is a protein and draws fluid from the tissue back into the blood stream as well. Also absolutely no salt & salty food.
From my experience in home care LE ulcers need all factors above to heal- proper hydration, nutrition and water pills help. It’s hard for the ace wraps to stay intact on lower legs. Our orders were these dressings be changed daily & the family were taught how to do the woundcare, which is usually a vasoline dressing as vasoline won’t stick to the wound when changing it, Honey is another alternative or calcium alginate silver (silver in alginate is antimicrobial).
If your mother’s leg ulcers are from lymphedema, try to seek out a lymphedema clinic in your area. They have alternating pressure devices the staff use to try to get the lymphedema reabsorbed. Lymphedema treatment is management of the symptoms & generally is persistent.
Do the best you can to redress the area when she pulls the dressings off. Those ulcers must be kept clean and dressed to avoid infection.
It takes a lot of time and treatment to heal those leg ulcers. Observe for s/s infection - ask her provider what you should be reporting for infection s/s.
Lastly have her PCP write orders to be followed at a woundcare center usually once a week.
The staff will measure the wound weekly which will help assess for improvement.
Josie 99 ; Just curious how the wound care is going with your Mother I hope you can find a home health to address this wound care , now a days they have all kinds of portable equipment to help you at home you can even do an IV at home I really hope you find the best help. keep us updated....hugs to you
Shane, CountryMouse and others are absolutely right, and I was wrong to give the answer I did, and I apologize. I am not a health care practitioner of any kind, and giving medical advice of any kind over an internet forum like this without seeing the patient was arrogant and foolhardy to say the least. I truly apologize and hope your LO is improving. 😊🤗
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.
My understanding is that plasters should be changed at least daily, more often if the wound is weeping because you don't want to wound to remain "wet" in the weeping fluids (moist is very good, wet is not so good). I suggest checking with your mother's doctor or a nurse practitioner about her wound care. I have found nurse practitioners often have better hands on care advice while still being aware of medicines or bandage types that aid healing. I also placed a "pad" made from a folded sheet under the wound and replaced that each time the bandage came off.
When my Moms bandage kept coming off, my daughter, wound care RN, took a sock with a long stretchy top and cut the top off. She then put it on Moms leg covering the bandage. So it wouldn't get wet, she wrapped Glad Press and seal around the bandage covering the skin on top and bottom. Gives a great seal and comes off easily.
In particular, how to manage and change the dressing depends a lot on the type of wound, its location, and what dressing exactly is being used. Some of them you *don't* take off for quite a while and there are good reasons for it.
Healing time will depend on so many factors that it's impossible to say - again, your wound care nurse will be your best source of advice. Who is currently leading this treatment (I mean, what sort of practitioner)?
Venous status ulcers take weeks to heal. Sometimes the patient may need an ultrasound of the blood vessels in the person’s leg to check for blockages in blood flow and maybe a stent placement or angioplasty to restore blood flow as the area needs good blood circulation to heal. So many factors.
From my experience in home care LE ulcers need all factors above to heal- proper hydration, nutrition and water pills help. It’s hard for the ace wraps to stay intact on lower legs. Our orders were these dressings be changed daily & the family were taught how to do the woundcare, which is usually a vasoline dressing as vasoline won’t stick to the wound when changing it, Honey is another alternative or calcium alginate silver (silver in alginate is antimicrobial).
If your mother’s leg ulcers are from lymphedema, try to seek out a lymphedema clinic in your area. They have alternating pressure devices the staff use to try to get the lymphedema reabsorbed.
Lymphedema treatment is management of the symptoms & generally is persistent.
Do the best you can to redress the area when she pulls the dressings off. Those ulcers must be kept clean and dressed to avoid infection.
It takes a lot of time and treatment to heal those leg ulcers. Observe for s/s infection - ask her provider what you should be reporting for infection s/s.
Lastly have her PCP write orders to be followed at a woundcare
center usually once a week.
The staff will measure the wound weekly which will help assess for improvement.