r/woundcare

Help An RN out with this Ostomy?

I have a patient with a very long (almost 3 inches) very oval ostomy that is recessed in a abdominal fold. I have tried to put a shit ton of ostomy paste, a molded wax ring, stoma powder and tape on the ostomy bag and it still leaks. The patient is having skin breakdown because of this and the stool is getting all over their wounds. I need some advice from some badasses with more experience than me.

-A frustrated younger nurse of 2 years. 🩷

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u/PelliNursingStudent — 11 hours ago

Infected ? Best way to self treat ?

I’ve been waiting for this to heal for months. It doesn’t seem to be. Any suggestions?

u/Trick_Moose8793 — 1 day ago

Skin Flap Transfer

About 13 days post op. Still in an amount of pain and taking it one day at a time. Stitches and staples come out day 21. When they do, how am I to care for the flap? Just moisturise and treat it as sensitive skin?

Also, any tips on how to deal with this number of stitches and staples would be most helpful.

u/Livid_Research_7240 — 1 day ago

Traumatic dog bite to face with full skin loss

Friend of a friend lost a chunk of his face to a dog bite. Went to the ED yesterday, they basically told him to apply a cream (exact kind unknown right now), dress with tape and gauze and “let it heal”.

While he waits to return home and see plastics, how would you dress this wound? I work in med device and have a lot of specialty dressings/gelling fiber, silver on hand and would love to help him dress this to keep it on the right track. Any advice would be appreciated!

u/niceniceverynice-9 — 1 day ago

Comment dois-je soigner ?

Sa fait 1 mois que je l’ai je n’arrive pas à soigner. Dites moi est-ce grave ce que j’ai ?

u/Vegetable-Fun2978 — 1 day ago

Wife burned herself 4 days ago

Need to know if this is infected shes been taking care of it but hasn't went to the Dr need to know if she needs to get it checked ASAP

u/Riiich3 — 3 days ago

Best wc for these?

I got a facelift June 1st and all was healing well. Out of nowhere, both sides split open resulting in this. It now has to heal by secondary intention and I’m trying to figure out the best way to care for it. I had hydrocolloid gel patches on them so it could be left alone for a few days at a time and I thought it was working but today they looked worse. It’s a difficult spot to cover but I don’t want to leave them exposed and everytime I clean it or take a cover off, it takes the good cells trying to heal. I’ve been using bacitracin, silver honey, and Lavior (alternating) and just want it to heal. It’s been almost 2 weeks since they split.

u/Misbehaved_Little — 1 day ago
▲ 14 r/woundcare+1 crossposts

Second degree burn with toilet bowl cleaner spilled on top of it

I got a second degree burn from my clothing steamer and I went to urgent care and they told me to let it dry out and apply Silver sulfadiazine. But today my toilet bowl cleaner spilt all over my wound. I called poison control and they said to go to the emergency room but I just went to urgent care. The first urgent care I went to he only looked at it from a distance and told me it was infected and told me to call poison control. I called poison control while sitting in the the urgent care room and the person on the other end said its awful the doctor is telling me to call urgent care and that he needs to assess the wound and give me wound care opinions. I leave this urgent care and felt uneasy about the whole situation. I decided to go to another urgent care and again the doctor there looked at my wound from a distance and told me ITS not infected and to just apply the ointment. The burn is right next to my knee joint so it hurts to walk. Its getting really painful to stand up. Is there any wound care i should be doing differently. Im just uneasy about this whole situation.

u/West-Peace4234 — 3 days ago
▲ 4 r/woundcare+1 crossposts

Concerned about abscess that popped on armpit hole still present after almost two weeks

26M

Worried about armpit because there’s been this thick yellowish/green around armpit? Worried that it’s pus or it’s infected. There’s never been any pain or anything concerning physically just only been itchy around it. I’ve been careful not to poke at it and I’ve also taken a week of antibiotics. Although side note, I’m currently taking adalimumab.

I’m just worried if it’s infected? 1st photo is from last week and the 2nd and 3rd one is today.

u/MrSubwaySwag — 4 days ago

Is this normal?

I’m kinda freaking out because why it hasn’t healed yet? It’s 2 weeks old.. And how am I supposed to take care of it because ion have no money, like at all..

u/katsarelovely — 4 days ago

KTU?

Does this look like the typical Kennedy terminal ulcer? This is my grandmother in the nursing home. I cannot confirm myself when this wound appeared, but she has had it for a bit over a week that I am actually aware of. First photo is dated 06/27, second photo is when I found it on 06/21.

u/missdoublebee — 5 days ago

Yes, I shouldn’t know. Let it get this far but now what do I do?

Please no insults yes, I didn’t take good care of my feet. I wear work boots 56 hours a week for the last 20 years but walking down the stairs with a pair of flip-flops on caused that to happen.(not to mention 20 years of poor foot care)

u/Song-Altruistic — 6 days ago

Middle finger injury 6 days ago vs today

Got myy finger caught under a piece of machinery at work and slided a bunch of skin off. Been to the doctor twice already and they want me to visit one more time. Been keeping it moist with bacitracin and cleaning with homemade saline. This looks like it's healing very well to me so I'm not sure if it's necessary to go back for another doctors visit. Any advice? Should I switch to a dry dressing?

edit: sorry the photos are out of order, the first one is today's picture.

u/Cold_World_2933 — 7 days ago

Necrosis after tummy tuck

Down in FL til Wednesday and seen PS today. He slapped bacitracin and gauze over it and said come back tomorrow. Looks like beginning stages of necrosis. I have wound care booked for Thursday when I get back home to NY. Freaking out.

u/Double-Lingonberry94 — 7 days ago

are these stitches done correctly?

are these stitches done correctly ? (blood/open wound warning)

I'm a 21 yr old woman. I got cut by shattered glass. She didnt put a stitch in the middle because she said the skin on one side was gonna die off and it didnt make sense to adhere the skin together there then. Also the bottom is still gaping open. But it just looks so undone compared to other peoples stitches...

First image is directly after getting stitched yesterday. second is 24 hours later when changing the dressing. Third is immediately after getting for reference

u/Throaway627272828 — 6 days ago

Stomach and hip wound dehiscence 5 weeks post op

I have an appointment with a wound care doctor next week. I was referred 10 days ago but insurance just approved the visit 🙄 It’s gotten deeper and wider. I did cut out some of the slough as it was grossing me out BAD. Does anyone know what the treatment plan is looking like? Can I expect anything to be stitched up or a woundvac? I’ve been treating with medihoney, packing with gauze and using silicone bandages

u/DoritoBreath_ — 10 days ago

Palm skin peel off during cement injury

My skin peeled off, so I went to the doctor. She cleaned the area, dressed it, applied ointment, and put a bandage over it. She told me to change the 🩹 bandage if it gets wet or loses its stickiness. When changing it, I was instructed to wash my hands with soap and water, pat the area dry with a fresh paper towel, and reapply the ointment. She also mentioned that I should keep it covered when I am outside, but I can leave it uncovered while inside the house. However, after a day, a very thin yellow layer formed. I panicked, thinking it might be an infection, but after reading mixed reviews online, I learned it could either be part of the normal healing process or an infection.

But I am suspecting it could be an infection? Could you please give me some advice?

u/washionpoise — 9 days ago

Is it infected? A red scab on a knuckle

I accidentally cut my knuckle with manicure scissors 10 days ago. Now, it looks like this. It is swollen, red and I can't fully bend my finger :( It hurts a little when I try to bend it. Is it infected? Will some neosporin work?

u/weirddolly — 8 days ago

Drove into a pothole while wearing sandals

Drove into a pothole yesterday, when it first started bleeding, a white layer was visible. Was wondering if anyone might have any thoughts on how it’s looking? How long might it take until it would start to dry up? 1 week? Thank you all.

u/FoxtrotCharlie6 — 10 days ago