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SuperHawk Asked June 2020

Should a decubitus (pressure injury) be left alone to progress until sepsis? Is there any benefit in not trying to stop tissue loss?

Has anyone heard if there is any benefit in allowing a wound to get as worse as possible before trying different dressing treatments?
Anyone with first hand experience in dressing a big sacral gash on an elderly person?

earlybird Jun 2020
SuperHawk, I am relieved your dad is finally getting wound care from a specialist. It must have been so frustrating. I hope he continues to progress and wish him a speedy recovery. Take care.
SuperHawk Jun 2020
Thanks Earlybird! Doing and hoping. Two necessary steps that have given me strength and maybe will save dad from injury crescendo.
I think I would be in worse shape without the attention, advice and concern from people like all of you in this forum guiding and even pushing me to rethink and even confirming I should push others for help for dad.
Strangely, I remember almost every single reply or comment. For me this is serious and for you is selfless concern.

How can so many fine people be in one same place !
BarbBrooklyn Jun 2020
SuoerHawk, I'm so glad things are looking better!
SuperHawk Jun 2020
Thanks Barb !
Now I am thinking about investing on a moving matress. Gently moves body from side to side. Not so high tech....just cells that inflate and deflate repositioning body automatically.
Decubiti is due to immobility so all beds should become rockers where there is a immobile patient in rehab. I will always tell everyone prevention at all costs is the best treatment. After the fact .....rehab through movement is still a good treatment. Wait and see if wound progresses is sadistic especially if this approach is daily week after week.

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earlybird Jun 2020
Consult wound specialist. Very painful and difficult to heal. You do not want it to progress to sepsis. Needs immediate attention, sepsis could kill.
SuperHawk Jun 2020
Thanks for reply. I am so afraid. Literally helpless just waiting for someone to Know and Do what needs to be done.
shad250 Jun 2020
Agreed, you don't want a wound to progress to sepsis

AlvaDeer Jun 2020
You need wound care consult and right away. Decubiti are killers. Literally.
SuperHawk Jun 2020
Can sepsis be stopped by medihoney and hydrogel? There must be something else coadyuvant! I am concerned they may simply want to continue something like this. Promised visit for tomorrow.
From Saturday to Monday and now to Wednesday. So many hours will have passed for wound on its own means trying to mend! I feel that wound is ticking waiting. So worrying.
Thanks for your attention and help.
cwillie Jun 2020
NO. No no no! These sores are extremely painful and can lead to sepsis! The only time you might even consider forgoing treatment would be when wounds appear in the final hours of life.
SuperHawk Jun 2020
Oh no! My gut feeling was right. Time is precious!
I agreed to hospice service straight from hospital discharge specifically due to his stage IV sacral injury. Just started saturday with a hospice nurse visit/general assesment.
Dad is not in final days. He is watching TV and very hungry .....just in bed still. I was warned not to try sitting him up until .....who knows when! I have been using positioning cushion. A U WEDGE. Changed dressing 3 times. Leaves me trembling for hours especially thinking I am not helping it correctly. Feels I am just hiding it from view.

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