*** LOG OPENED: Wed May 19 11:01:00 1999 --- Participants: disabled MsAmazin Mooooooo (azdse@uswest.net) camille Kim^^ Lily Kark ChanServ (nanook@eskimo.com) --- ok started *** eve has joined #Disabled-RT i just got a message from judi........... she cant get into IRC tell her to try another server so.........bear with m , and i'll post questions *** lonewolfb has joined #Disabled-RT can you change servers? ni there are 40 other servers to use hi Hi oh, here she is:) had to use java why? been trying irc for 15 min try other servers? what server? can't get logged onto irc I didn't know I could use another if I had a problem I tried a bunch of servers anyway yes karen, there are over 40 servers sory I am late Everyone ready? *** jennie has joined #Disabled-RT np yup:) *** intrepid- has joined #Disabled-RT Tonight we are going to discuss pressure sorees I would like to try no rules if everyone is patient with slow typers <---is patient Pressure sores occur when the blood supply is cut off to a certain area example being you are lying in bed and become uncomfortable so you turn over with reduced feeling you don't realize that the area is uncomfortable when patients are unable to tuen -they need to be turned every two hours to prevent lack of adequate blood supply so now we have the problem of the patient who cannot turn at all and doesn't feel the skin begins to breakdown and a sore that is difficult to heal results Treatment can be frustrating and involved if the area becomes infected it can spread to the blood stream death can even result from sepsis so have any of you ever had a pressure sore? *** Mooofasa has joined #disabled-rt *** Mooooooo has left irc (Quit: Quit: Local kill by Mooofasa (ghosts suck!)) *** Mooofasa is now known as Mooooooo hello?? hi can u guys see me? here I get pressure sores from my leg braces yes yes Here were spellbound yes i see you but never had a pressure sore ok MS how serious do they get? *** Ray-1 has joined #disabled-rt when I was working..standing for 8-10 hrs without moving around much The key is prevention have been septic that is deadly:( yes it is kim *** Ray-1 has left #disabled-rt that would do it ms it didn't get infected..but was very large and deep are they hard to clear up? Why are they hard to heal? *** Ray-1 has joined #disabled-rt I had to stop wearing my braces for 6 mos and have whirlpool treatmenst lack of adequate blood supply *** anny1 has joined #disabled-rt *** Ray-1 has left #disabled-rt what do you do to prevent them? I have one now, but is just starting I have been going without my braces oh my yes that removes the irritant cam? i dad them on my heels i have had some haven't you dealt with this yes eve what treatment did you use? why don't you guys tell the others what it feels like and how they were treated carrington wound gell and if severe enough, they can lead to the skin being so broken down that bones are exposed, which happened to ppl I knew in junior high/high school i put too much weight on my lap so it causehte heel bone to cut through I can't feel that area that's a new one on me I'm trying to prevent them on my Uncle's rear - he's a paraplegic in a rehab center. I need help from someone who has had to lie in bed for a time. He can feel the pain from the pressure points. well when in chair and no shoes will happen yes cam and you all are describing different ways that the blood supply can be cut off I got one on my hip while in rehab hospital also lack of being turned? yes and no one would listen THAT one I could feel your skin is called your first line of defense against infection have to keep dry and off pressure point i keep the area clean and as prevention i use proshield plus, and if that doesn't work then oi use carrington on a dressing if it's an open wound. how did they treat it ms? they put some kind of gell dressing on it They turn him often, but he's still in pain. Do air mattresses help? by that time I was able to move around again one treeatment is a barrior type dressing such as duoderm I had a gell mattress...it was very good yes jennie air mattresses are a big help the old way was salene water and heat lamp Thanks, I'm getting desperate - he's not eating and withdrawing from us. they alternate the air so that pressure in one spot is not constant i use a foam pad yes cam I remember those days it worked foam pads are good too-keeps pressure off the area foam pads didn't work for me even egg crate mattresses can help dunno why my dad had an air mattress that was very helpful,increased and decreased the presure slowly I have removed a foam pad and had the patient's skin come off with it Foam pads and egg crates haven't helped him. just make sure is a thick pad between person and the mattress no jennie in a paralyzed patient air mattresses are best the gell (jell?) mattress was great...and comfy too explain cam keeping the area moisture free is important also *** Diablo1 has joined #disabled-rt *** atrpilot has joined #Disabled-rt hello all just a sheet is too thin as your boby sweats so need thick pad big prob with incontinence kepp yourself dry hi diablo right cam so what's topic never mind pressure sores tonight's topic is : Pressure Sores and Other Irritations I have a friend who had a sore so bad...was hospitalized for about 6 mos ok-here's an example you guys tewll me what should be done never set directly on a chuck pad either I heard aboud a matress that has rotors in it that move so the pressure isn't in the same spot all the time right and that's one hospitals are bad about what's a chuck pad? paraplegic or quad stays in wheel chair most of day a pad like a pamper Thanks, cam. moisture free is hard with spasticity and contracture, I can heal pressure sores well because my sensation isn't impaired, but I do get rashes from moisture and small wounds that do not heal well because of lack of circulation all day lonewolf develops pressure sore on tail bone good point laura yes cam what do we do about the pressure sore and how could it have been prevented? yoou have to shift your weight all the time when setting in chair how about a quad cam? even they can shift reclining chair? yes, I can possibly ms willhave to shift or have someone do it yes, ms, and move position can they heel the sore if they continue to sit in chair more to one side than other, but not usually a problem no, supposed to lie flat with special cusion doubtful diet is important! not usually yes it is eve but lying is bed is best high protein esp yes, flat yes cam not usually, but there are dressings when they are just beginning once the pressure is off for me....I heal quickly anyway to get off the area on side yes that's the biggest key to healing which I use the most iimprrtant is to move and keep dry yes yes if the person is also diabetic though or has a circulatory problem it can get serious in a hurry *** Leia- has joined #Disabled-rt the best thing I can say is to inspect skin weekly we're talking gangrene in some instances skin grafts are aslo done to prevent later all *** Diablo1 has left #disabled-rt I have to disagree laura daily skin grafts are essential to healing yes dailyfor paraand qd if the place is large laura within a week you could be talking sepsis etc I came this <--> close to a skin graft how many of you have decreased feeling in part of your body? meme me I do yikes ms same here me in some places *** eve has left irc (Quit: eve) me right leg everyone who does should do a daily inspection thighs look for red areas or whitish areas daily when no sensation, but usually if you have ut, weekly is adequate if a sore is found check body temp and ceheck for drainage if drainage is yellow green or foul smelling yes call physician I have seen many pressure sores in my nursing career some are so horrible you can't begin to imagine I have also had patients die from them the smell from an infected sore is putrid i don't have pressure sores but i have lupus ulcers that sound similar ok lets go back to the wheel chair yes they are Kim what else can be done for prevention cushions? 7yp978yuo0ui9jmhjinun What kind are best? sheepskin? I use sheepskin in bed Kim is having a seizure yes well jennie that is hard to say her daughter is there somethings work better for one person than they do for another oh my massage Is she ok? cam do you use a cushion? Ty has to keep switching cushions...he has a boney butt :) yes, kark Has anyone used the temper foam cushion? My uncle's butt is the boniest! hope so karen yes massage of area improves blood supply the donut type cushions are good too what about a roho? dry flotation is better than fome roho? don't know roho lil dressings can be good if it is just red, but when they first begin USE THIN ONES because thicker ones can aggravate them actually the switching cushions is a great idea i just new roro is good great laura i am ok again:) is it like a donut? it like an aircushion, LW ok Kim yes that would be good no, is even good kim:) rogo is bad if you have a tray on chair Kim had me worried also for feet-sheepskin booties seeem to help why so laura? I lie in bed a lot so I have problems with heels and don't usually feel it until it is bleeding aquaphor ointment is usually helpful for me because they raise you up, make harder to drive chaie and for try to fit tray oh IC laura yes, they high skin irritations women-big problem area-under breasts men around genitals you know, Judi, at the hospital I had that i have poor sensation in my feet also have steped on needles and hardly felt it and must be kept dry me to anny they had these blue feet protectors with sreaps that are built up yes anny diabetic patients often find things in their feet and it helps a lot intrepid roho has low profile now only 3 in. high very stable yes laura-I just ordered some of those for myself oh good back to skin how many of you are prone to rashes etc? ive had a few lately me no rashes here well I am i do daniel do you know what is causing it? buttergly? fly yes I get blisters if I don't where a sock to cover my whole leg when wearing brace its over my scars hum comes and goes for years there are so many remedies for rashes old wive's tales etc usually a cortisone based ointment works well for the run of the mill rash for you Kim its a diff story *** Kim^^ has left irc (Read error to Kim^^[pm640.bardstown.com]: Network is unreachable) *** lonewolfb has left irc (Quit: Quit: Read error to lonewolfb[host-209-214-174-69.owb.bellsouth.net]: Network is unreachable) *** jennie has left irc (Quit: Quit: Quit: jennie) o, there they go! am I here? yup:) k :) thanx wonder who is next lol lol is like mass exodus dropping like flies :) well, the next question is: Dry skin-what helps-what doesn't and why bother? *** Kim^^ has joined #disabled-rt Dry skin-what helps-what doesn't and why bother? change pads when wet or that will break skin down fast baby powder helps too so skin should be dry? yes dry but what if too dry? baby powder how? why do you put power on baby *** intrepid- has left irc (Ping timeout for intrepid-[lai-ca5-130.ix.netcom.com]) what kind of pad cami ,,you mean diper or somethingels??? use lotion if too dry what about shower gel to keep skin soft? yes if u leak you should have apad or pamper and change when wet *** lonewolfb has joined #Disabled-RT is good lily sorry np minrial oil is good too its my server they were off and on all day we discussing dry skin, judi ok-powder-good or bad good for me ok sis minera oil good for what? powder can cake though but skin kim and form sores under arms don't put on too much powder under breasts and in genital areas i'm too confused I use mineral oil true-but sometimes a zealous caregiver gets carried away ytou put mineral oil unbreasts or oppowder and what about under asrns the ointment I mentioned has a base like vaseline yes is good leia most references do not mention powder at all because of caking potential hese prevprevent pressure sores? no kim on the dry areas like legs arms buttocks yeys you can be too dry or wet we are on skin irritations now Kim I have Sjogrens which effects the skin I do not produce body oils like most people do ok sorry i'm pretty far ut there tonite don't think i can keep[ up good so i watch:) i used powder under my elbow brace it really helped cut down on the irritation On top of that I sweaat terribly diue to inflammation and cortisone in that instance anny I think it would help *** WonderW- has joined #Disabled-RT you have lupus ulcers judi? dry skin is a tremendous problem for me no just pressure typw Kim also itching people with vascualr problems go nuts with the itching Kim is this a problem for you? why? iotching?> no rarely have it itching its like having abnormal responses to stimuli dut to the damaged vascular system also damaged nerve endings good meeting must go *** atrpilot has left irc (Quit: atrpilot) always check with your docs but bendryl or atarax is often very helpful and oatmeal soap no perfumed oils, deodorants, lotions etc i take benedry on a daily basis for sumpin else may that's why im lucky an old nursing trick is to apply baby oil before drying off cud be Kim also no long hot baths yes i do that lone brb strayt in my trash get the gun! it is an inexpensive great treatment only with the minerial oil works too warm showers only aveeno soap has been a life saver for me anyone else use it? my brother used it a lot its an oatmeal saop soap sis in law uses it my neurosurgeon recommended it how does it help does that help dry skin lone its mild and doesn't irritate or dry the skin will try it thanks yes cam are we still meetin or just visitingf? i will try it gotta go yall thanks for the good meeting see ya *** anny1 has left #disabled-rt nite girl!! its expensive unfortunately i should go too ok night to all who are leaving do all stores carry it anyone staying mouth care is next I get it at the pharmacy thats ok Judi, my birthdays coming up, I wwill put it on the list, lol ok *** bev has joined #disabled-rt ok you've had lupus ulvers judi am i sposed to be buttin in? Really quick I wanted to mention the mouth its fine Kim sores in mouth? k anyone have a very sensitive mouth?