"I have a good team with a physical therapist on it. I have had good luck with biafine and calcium alginate rope with silver. Had my P.T. debride and clean the loose slough from the bed twice a week. Used x-cell after the bio and slough was…"
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Lois Darnell
- Female
- Altus, OK
- United States
- I am not wound certified at this…
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Lois Darnell's Discussions
What stage is this pressure ulcer?
Wound to heel is unstageable would be Deep Tissue Injury. Would treat it as DTI. Wound on achille tendon looks like hematoma unopened. I don't see any drainage coming from the wound. Possible…Continue
Started Apr 22, 2011
Chronic Shoulder Draining Wound for 18 months
2 Replies
63 year old female had shoulder surgery new joint replacement. Became MRSA infected and the Dr. removed the replacement and applied antiboitic to shoulder. Have had Negative pressure on for two…Continue
Started this discussion. Last reply by Lois Darnell Feb 22, 2011.
Chronic Shoulder wound
1 Reply
63 year old female came in to have right shoulder replacement 18 months ago. Dr. replaced the component and it did not heal. Came in and Dr. took component out with shoulder infection of MRSA.…Continue
Started this discussion. Last reply by Lois Darnell Oct 27, 2010.
Lois Darnell's Page
Latest Activity
Lois Darnell replied to Laurie Swezey RN, BSN, CWS,CWOCN's discussion Does anyone have experience or tips for treating malodorous wounds?"Hello Laurie, I am a big fan of Joseph McCulloch book also "WoundHealing , Evidence-based Management". Very good information. I have and do use multidex powder for odor. Biafine also helps combined with covered dressing."
Lois Darnell replied to Kimberly Davis, LVN's discussion Hyroferra Blue"I have been using hydrofera blue for over 5 years. Hydrate with sterile water or sterile normal saline. I open the dressing and apply the sterile water to the foam then squeeze excess from the dressing before applying to wound. I use it most on…"
Lois Darnell replied to Kimberly Davis, LVN's discussion Hyroferra Blue"I love it. Have a patient that comes in frequently that has Lymphedema in both legs. Lower legs have gotten infected in creases of leg. Have used hydrofera blue for healing the infection odor and wounds. When I have a heavy bioburden to the wound I…"
Lois Darnell replied to WoundTalk's discussion Where do you work and what is your position?"Hi, I'm from Altus, OK. and I have been seeing nursing homes using betadine paint to the heels also. I don't like and I use moister to the heels also and have great outcome. What is the reason you have been told that the betadine is being…"
Lois Darnell replied to WoundTalk's discussion Do you use mostly gauze dressings to treat wounds?"Hi Dani,
I read your answer and was wondering do you work in hospital or nursing home? Wet to dry dressings are described in the literature as a means of mechanical debridement. Gauze dressings do not support opitmal granulation…"
Lois Darnell replied to WoundTalk's discussion How many people hear the orders "wet to dry dressing" and cringe? How do you respond?"I have worked in the hospital for 20 years and worked as WCN for 10 years in the hospital. All of our surgeons write for wound care to decide on treatment. One surgeon still writes for wet to dry which I call and ask may we use this or that and he…"
Lois Darnell replied to WoundTalk's discussion Do you use mostly gauze dressings to treat wounds?"There is an other article in Journal of the American College of Certified Wound Specialists(2009) 109-113 on Why Wet to Dry? I found it to be very interesting. I like the idea of changing every 24 hours instead of every 6 hours. Our hospital changed…"
Lois Darnell replied to WoundTalk's discussion Do you use mostly gauze dressings to treat wounds?"No, I use gauze to clean the wound. Never use for healing."
Lois Darnell liked Laurie Swezey RN, BSN, CWS,CWOCN's discussion How would you stage this pressure ulcer is and why?Lois Darnell commented on Laurie Swezey RN, BSN, CWS,CWOCN's blog post Can you name this wound? Please explain your answer."This is a venous ulcer. It is located in the gaiter area,is irregular shaped, shallow with slough tissue large. It looks like it is swollen. Would remove slough maintain moisture control bioburden and use compression."
Lois Darnell posted a discussionWhat stage is this pressure ulcer?
Wound to heel is unstageable would be Deep Tissue Injury. Would treat it as DTI. Wound on achille tendon looks like hematoma unopened. I don't see any drainage coming from the wound. Possible injury from pressure of boot or surface foot has been on. Would place foot up off bed offload pressure from foot.
Lois Darnell replied to Laurie Swezey RN, BSN, CWS,CWOCN's discussion How would you stage this pressure ulcer is and why?"This is unstageable due to eschar covering the wound bed. It would need debridement before staging."
Lois Darnell commented on Laurie Swezey RN, BSN, CWS,CWOCN's blog post Preventing Heel Pressure Ulcers"I agree that skin prep is used to protect skin from bodily fluids, adhesive, friction, and incontinence. Surrounding nursing home has been using skin prep to heels which came to hospital and patients was telling me that the heels was hurting. I off…"
Lois Darnell replied to Laurie Swezey RN, BSN, CWS,CWOCN's discussion Does anyone have experience or tips for treating malodorous wounds?"When will you be in Oklahoma? There are alot of good nurses that would love to have you here to teach or help us with knowing more about Honey."
Profile Information
- What is your occupation (please be sure to enter your credentials following your full name above):
- Licensed Practical/ Vocational Nurse
- What type of facility do you work in:
- Hospital
- What is your wound certification status (please be sure to enter any certifications you hold following your full name above):
- I am not wound certified at this time
Comment Wall (2 comments)
- At 8:14am on December 9, 2010,
Laurie Swezey RN, BSN, CWS,CWOCN said… - Hi Lois,
Thank you for your comment and congratulations on you 2011 goal of becoming wound care certified. Let me know if you are interested in our payment plan. This may help you to get started without having to lay out so much money up front.
- At 10:57am on June 3, 2010, Laurie Swezey RN, BSN, CWS,CWOCN said…
- Nice to see you here on WoundEducators. What was your reason for joining the network?
To add a personal touch, consider including a photograph of yourself when you join the network. A photo will help other users connect with you, allow them to get to know you better, and make you more of a 'real person' to your online colleagues.
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