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Lily: i just got a message from judi...........
Lily: she cant get into IRC
Mooooooo: tell her to try another server
Lily: so.........bear with m , and i'll post questions
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Kark: can you change servers?
Mooooooo: there are 40 other servers to use
Lily: oh, here she is:)
lonewolfb: had to use java
lonewolfb: been trying irc for 15 min
Lily: try other servers?
Mooooooo: what server?
lonewolfb: can't get logged onto irc
Kark: I didn't know I could use another if I had a problem
lonewolfb: I tried a bunch of servers
Mooooooo: yes karen, there are over 40 servers
lonewolfb: sory I am late
lonewolfb: Everyone ready?
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lonewolfb: Tonight we are going to discuss pressure sorees
lonewolfb: I would like to try no rules if everyone is patient with slow typers
MsAmazin: <---is patient
lonewolfb: Pressure sores occur when the blood supply is cut off to a certain area
lonewolfb: example being you are lying in bed and become uncomfortable so you turn over
lonewolfb: with reduced feeling you don't realize that the area is uncomfortable
lonewolfb: when patients are unable to tuen -they need to be turned every two hours
lonewolfb: to prevent lack of adequate blood supply
lonewolfb: so now we have the problem of the patient who cannot turn at all and doesn't feel
lonewolfb: the skin begins to breakdown and a sore that is difficult to heal results
lonewolfb: Treatment can be frustrating and involved
lonewolfb: if the area becomes infected it can spread to the blood stream
lonewolfb: death can even result from sepsis
lonewolfb: so have any of you ever had a pressure sore?
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lonewolfb: can u guys see me?
MsAmazin: I get pressure sores from my leg braces
Lily: were spellbound
Kim^^: i see you but never had a pressure sore
lonewolfb: ok MS how serious do they get?
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MsAmazin: when I was working..standing for 8-10 hrs without moving around much
lonewolfb: The key is prevention
Kim^^: have been septic that is deadly:(
lonewolfb: yes it is kim
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lonewolfb: that would do it ms
MsAmazin: it didn't get infected..but was very large and deep
lonewolfb: are they hard to clear up?
Kark: Why are they hard to heal?
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MsAmazin: I had to stop wearing my braces for 6 mos and have whirlpool treatmenst
lonewolfb: lack of adequate blood supply
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lonewolfb: what do you do to prevent them?
MsAmazin: I have one now, but is just starting
MsAmazin: I have been going without my braces
lonewolfb: oh my
lonewolfb: yes that removes the irritant
camille: i dad them on my heels
eve: i have had some
lonewolfb: haven't you dealt with this
lonewolfb: eve what treatment did you use?
lonewolfb: why don't you guys tell the others what it feels like and how they were treated
eve: carrington wound gell
intrepid-: 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
camille: i put too much weight on my lap so it causehte heel bone to cut through
MsAmazin: I can't feel that area
lonewolfb: that's a new one on me
jennie: 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.
camille: well when in chair and no shoes will happen
lonewolfb: yes cam and you all are describing different ways that the blood supply can be cut off
MsAmazin: I got one on my hip while in rehab hospital also
lonewolfb: lack of being turned?
MsAmazin: and no one would listen
MsAmazin: THAT one I could feel
lonewolfb: your skin is called your first line of defense against infection
camille: have to keep dry and off pressure point
eve: 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.
lonewolfb: how did they treat it ms?
MsAmazin: they put some kind of gell dressing on it
jennie: They turn him often, but he's still in pain. Do air mattresses help?
MsAmazin: by that time I was able to move around again
lonewolfb: one treeatment is a barrior type dressing such as duoderm
MsAmazin: I had a gell mattress...it was very good
lonewolfb: yes jennie
lonewolfb: air mattresses are a big help
camille: the old way was salene water and heat lamp
jennie: Thanks, I'm getting desperate - he's not eating and withdrawing from us.
lonewolfb: they alternate the air so that pressure in one spot is not constant
Mooooooo: i use a foam pad
lonewolfb: yes cam I remember those days
camille: it worked
lonewolfb: foam pads are good too-keeps pressure off the area
MsAmazin: foam pads didn't work for me
lonewolfb: even egg crate mattresses can help
MsAmazin: dunno why
anny1: my dad had an air mattress that was very helpful,increased and decreased the presure slowly
lonewolfb: I have removed a foam pad and had the patient's skin come off with it
jennie: Foam pads and egg crates haven't helped him.
camille: just make sure is a thick pad between person and the mattress
lonewolfb: no jennie in a paralyzed patient air mattresses are best
MsAmazin: the gell (jell?) mattress was great...and comfy too
lonewolfb: explain cam
lonewolfb: keeping the area moisture free is important also
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Diablo1: hello all
camille: just a sheet is too thin as your boby sweats so need thick pad
lonewolfb: big prob with incontinence
camille: kepp yourself dry
lonewolfb: hi diablo
lonewolfb: right cam
Diablo1: so what's topic
Diablo1: never mind
lonewolfb: pressure sores
Lily: tonight's topic is : Pressure Sores and Other Irritations
MsAmazin: I have a friend who had a sore so bad...was hospitalized for about 6 mos
lonewolfb: ok-here's an example you guys tewll me what should be done
camille: never set directly on a chuck pad either
Kark: I heard aboud a matress that has rotors in it that move so the pressure isn't in the same spot all the time
lonewolfb: right and that's one hospitals are bad about
jennie: what's a chuck pad?
lonewolfb: paraplegic or quad stays in wheel chair most of day
camille: a pad like a pamper
jennie: Thanks, cam.
intrepid-: 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
camille: all day lonewolf
lonewolfb: develops pressure sore on tail bone
lonewolfb: good point laura
lonewolfb: yes cam
lonewolfb: what do we do about the pressure sore and how could it have been prevented?
camille: yoou have to shift your weight all the time when setting in chair
lonewolfb: how about a quad cam?
Lily: even they can shift
MsAmazin: reclining chair?
intrepid-: yes, I can
lonewolfb: possibly ms
camille: willhave to shift or have someone do it
Lily: yes, ms, and move position
lonewolfb: can they heel the sore if they continue to sit in chair
intrepid-: more to one side than other, but not usually a problem
Lily: no, supposed to lie flat
camille: with special cusion
eve: diet is important!
lonewolfb: not usually
lonewolfb: yes it is eve
camille: but lying is bed is best
lonewolfb: high protein esp
Lily: yes, flat
lonewolfb: yes cam
intrepid-: not usually, but there are dressings when they are just beginning
MsAmazin: once the pressure is off for me....I heal quickly
lonewolfb: anyway to get off the area
lonewolfb: on side
lonewolfb: yes that's the biggest key to healing
intrepid-: which I use
camille: the most iimprrtant is to move and keep dry
lonewolfb: yes if the person is also diabetic though or has a circulatory problem it can get serious in a hurry
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intrepid-: the best thing I can say is to inspect skin weekly
lonewolfb: we're talking gangrene in some instances
MsAmazin: skin grafts are aslo done
intrepid-: to prevent
Diablo1: later all
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lonewolfb: I have to disagree laura
lonewolfb: skin grafts are essential to healing
camille: yes dailyfor paraand qd
lonewolfb: if the place is large
lonewolfb: laura within a week you could be talking sepsis etc
MsAmazin: I came this <--> close to a skin graft
lonewolfb: how many of you have decreased feeling in part of your body?
Kim^^: meme me
MsAmazin: I do
lonewolfb: yikes ms
Leia-: same here
Mooooooo: me in some places
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MsAmazin: right leg
lonewolfb: everyone who does should do a daily inspection
lonewolfb: look for red areas
lonewolfb: or whitish areas
intrepid-: daily when no sensation, but usually if you have ut, weekly is adequate
lonewolfb: if a sore is found check body temp
lonewolfb: and ceheck for drainage
lonewolfb: if drainage is yellow green or foul smelling
lonewolfb: call physician
lonewolfb: I have seen many pressure sores in my nursing career
lonewolfb: some are so horrible you can't begin to imagine
lonewolfb: I have also had patients die from them
lonewolfb: the smell from an infected sore is putrid
Kim^^: i don't have pressure sores but i have lupus ulcers that sound similar
lonewolfb: ok lets go back to the wheel chair
lonewolfb: yes they are Kim
lonewolfb: what else can be done for prevention
jennie: What kind are best?
lonewolfb: I use sheepskin in bed
lonewolfb: Kim is having a seizure
lonewolfb: well jennie that is hard to say
Lily: her daughter is there
lonewolfb: somethings work better for one person than they do for another
Kark: oh my
Kark: Is she ok?
lonewolfb: cam do you use a cushion?
MsAmazin: Ty has to keep switching cushions...he has a boney butt :)
Lily: yes, kark
jennie: Has anyone used the temper foam cushion? My uncle's butt is the boniest!
lonewolfb: hope so karen
lonewolfb: yes massage of area improves blood supply
lonewolfb: the donut type cushions are good too
Lily: what about a roho?
atrpilot: dry flotation is better than fome
lonewolfb: don't know roho lil
intrepid-: dressings can be good if it is just red, but when they first begin USE THIN ONES because thicker ones can aggravate them
lonewolfb: actually the switching cushions is a great idea
atrpilot: i just new roro is good
lonewolfb: great laura
Kim^^: i am ok again:)
lonewolfb: is it like a donut?
Lily: it like an aircushion, LW
lonewolfb: ok Kim
lonewolfb: yes that would be good
Lily: no, is even
Lily: good kim:)
intrepid-: rogo is bad if you have a tray on chair
Kark: Kim had me worried
lonewolfb: also for feet-sheepskin booties seeem to help
lonewolfb: why so laura?
lonewolfb: I lie in bed a lot so I have problems with heels and don't usually feel it until it is bleeding
lonewolfb: aquaphor ointment is usually helpful for me
intrepid-: because they raise you up, make harder to drive chaie and for try to fit
lonewolfb: oh IC laura
Lily: yes, they high
lonewolfb: skin irritations
lonewolfb: women-big problem area-under breasts
lonewolfb: men around genitals
intrepid-: you know, Judi, at the hospital I had that
anny1: i have poor sensation in my feet also have steped on needles and hardly felt it
lonewolfb: must be kept dry
Kark: me to anny
intrepid-: they had these blue feet protectors with sreaps that are built up
lonewolfb: yes anny diabetic patients often find things in their feet
intrepid-: and it helps a lot
atrpilot: intrepid roho has low profile now only 3 in. high very stable
lonewolfb: yes laura-I just ordered some of those for myself
intrepid-: oh good
lonewolfb: back to skin
lonewolfb: how many of you are prone to rashes etc?
Mooooooo: ive had a few lately
MsAmazin: no rashes here
lonewolfb: well I am
Kark: i do
lonewolfb: daniel do you know what is causing it?
MsAmazin: I get blisters if I don't where a sock to cover my whole leg when wearing brace
Mooooooo: its over my scars
Mooooooo: comes and goes for years
lonewolfb: there are so many remedies for rashes
lonewolfb: old wive's tales etc
lonewolfb: usually a cortisone based ointment works well for the run of the mill rash
lonewolfb: for you Kim its a diff story
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Lily: o, there they go!
MsAmazin: am I here?
MsAmazin: k :) thanx
anny1: wonder who is next
Lily: is like mass exodus
anny1: dropping like flies
Lily: well, the next question is:
Lily: Dry skin-what helps-what doesn't and why bother?
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Lily: Dry skin-what helps-what doesn't and why bother?
camille: change pads when wet or that will break skin down fast
camille: baby powder helps too
Lily: so skin should be dry?
camille: yes dry
Lily: but what if too dry?
Kim^^: baby powder how?
camille: why do you put power on baby
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atrpilot: what kind of pad cami ,,you mean diper or somethingels???
camille: use lotion if too dry
Lily: what about shower gel to keep skin soft?
camille: yes if u leak you should have apad or pamper and change when wet
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camille: is good lily
camille: minrial oil is good too
lonewolfb: its my server they were off and on all day
Lily: we discussing dry skin, judi
lonewolfb: ok-powder-good or bad
camille: good for me
lonewolfb: ok sis
Kim^^: minera oil good for what?
lonewolfb: powder can cake though
camille: but skin kim
lonewolfb: and form sores
lonewolfb: under arms
camille: don't put on too much powder
lonewolfb: under breasts and in genital areas
Kim^^: i'm too confused
Leia-: I use mineral oil
lonewolfb: true-but sometimes a zealous caregiver gets carried away
Kim^^: ytou put mineral oil unbreasts or oppowder and what about under asrns
lonewolfb: the ointment I mentioned has a base like vaseline
camille: yes is good leia
lonewolfb: most references do not mention powder at all
lonewolfb: because of caking potential
Kim^^: hese prevprevent pressure sores?
camille: no kim on the dry areas like legs arms buttocks
camille: yeys you can be too dry or wet
lonewolfb: we are on skin irritations now Kim
lonewolfb: I have Sjogrens which effects the skin
lonewolfb: I do not produce body oils like most people do
Kim^^: ok sorry i'm pretty far ut there tonite don't think i can keep[ up good so i watch:)
anny1: i used powder under my elbow brace it really helped cut down on the irritation
lonewolfb: On top of that I sweaat terribly diue to inflammation and cortisone
lonewolfb: in that instance anny I think it would help
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Kim^^: you have lupus ulcers judi?
lonewolfb: dry skin is a tremendous problem for me
lonewolfb: no just pressure typw Kim
lonewolfb: also itching
lonewolfb: people with vascualr problems go nuts with the itching
lonewolfb: Kim is this a problem for you?
Kim^^: iotching?> no rarely have it
lonewolfb: its like having abnormal responses to stimuli dut to the damaged vascular system
lonewolfb: also damaged nerve endings
atrpilot: good meeting must go
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lonewolfb: always check with your docs but bendryl or atarax is often very helpful
lonewolfb: and oatmeal soap
lonewolfb: no perfumed oils, deodorants, lotions etc
Kim^^: i take benedry on a daily basis for sumpin else may that's why im lucky
lonewolfb: an old nursing trick is to apply baby oil before drying off
lonewolfb: cud be Kim
lonewolfb: also no long hot baths
camille: yes i do that lone
Kim^^: brb strayt in my trash get the gun!
lonewolfb: it is an inexpensive great treatment
camille: only with the minerial oil
lonewolfb: works too
lonewolfb: warm showers only
lonewolfb: aveeno soap has been a life saver for me
lonewolfb: anyone else use it?
Kim^^: my brother used it a lot
lonewolfb: its an oatmeal saop
MsAmazin: sis in law uses it
lonewolfb: my neurosurgeon recommended it
Kark: how does it help
camille: does that help dry skin lone
lonewolfb: its mild and doesn't irritate or dry the skin
camille: will try it thanks
lonewolfb: yes cam
Kim^^: are we still meetin or just visitingf?
Kark: i will try it
anny1: gotta go yall thanks for the good meeting see ya
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Kim^^: nite girl!!
lonewolfb: its expensive unfortunately
Kark: i should go too
lonewolfb: ok night to all who are leaving
camille: do all stores carry it
lonewolfb: anyone staying mouth care is next
lonewolfb: I get it at the pharmacy
Kark: thats ok Judi, my birthdays coming up, I wwill put it on the list, lol
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Kim^^: you've had lupus ulvers judi am i sposed to be buttin in?
lonewolfb: Really quick I wanted to mention the mouth
lonewolfb: its fine Kim
Kark: sores in mouth?
lonewolfb: anyone have a very sensitive mouth?
Kim^^: when is your birthdat kark??
lonewolfb: sores and just easily irritated
Kark: June 9th
MsAmazin: Ty does
lonewolfb: ok there is a toothpaste that has been found helpful and a mouthwash
lonewolfb: again-expensive and found in pharmacies
camille: i have senitiveteeth will that help that
lonewolfb: no alcohol based mouthwashes
lonewolfb: it has helped mine cam
MsAmazin: have to pass on that then
lonewolfb: or listerine or those kinds of things
camille: cold kills me
Lily: what about warm salty water?
lonewolfb: With Sjogrens the body doesn't produce protective saliva
bev: I've done that, it worked
lonewolfb: is good for secific things Lil
camille: that is good lily
lonewolfb: but I'm talking daily use
lonewolfb: catsup sets my mouth on fire
bev: I don't know about that
lonewolfb: I also use an artificial saliva
Kim^^: sounds you have thrush to judi:(
Kark: what's that?
WonderW-: anyone know of ways to reduce gagging sensitivity
lonewolfb: anyone have any questions or tips to pass on on anything we have discused
Lily: i'm off, night all, good meeting judi
lonewolfb: no laura I don't
camille: bye lily
Kark: night lily
lonewolfb: bye sis
bev: I came in late so I don't know what all was discussed
Kim^^: great mneetin yes!!''
lonewolfb: thrush is a fungal infection
Kim^^: nite lily'
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lonewolfb: Yes Kim I have it frequently but not all the time
Kim^^: yes but very prevalent in lupiers
lonewolfb: bev skin care pressure sores mouth care
Kim^^: i have irall the time
lonewolfb: yes is like a continual fight Kim
lonewolfb: what do you use for it?
bev: I need to know what to do for a pressure sore on my foot
lonewolfb: ok bev how big how bad?
Kark: Great meeting once again
MsAmazin: 'nite all ...good meeting :)
lonewolfb: night and thanks
Kim^^: i use nystatin judi, you?
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bev: About the size of a quarter pretty deep I think I can't feel it or see it
lonewolfb: sometimes nystatin, sometimes mycolex
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Kark: I am sorry, having some pain in back and hip, dr thinks arthritic artritis
lonewolfb: bev if it is deep it needs to be seen by physician
lonewolfb: oh Karen I'm sorry
Kim^^: but you can get rid of it at times?
lonewolfb: the thrush?
bev: I have a dr appointment tomorrow but we have been trying Algaderm
Kark: good night, thanks
Kim^^: i've had it for at least 10 yrs.
lonewolfb: yes when I can take diflucan-had to take a 20 day run to get rid of it in Feb
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lonewolfb: nite Karen
lonewolfb: is algaderm a dressing?
bev: It's Algaderm, I'm not sure that is what hte Home Health care nurse has been putting on it. It looks like seeweed
lonewolfb: bev are you keeping pressure off of it?
lonewolfb: don't know that one bev
Kim^^: i'm going for abit later girls!!'
bev: trying to. I am in a wheelchair all the time legs are paralyzed
lonewolfb: a trick I learned when its a heel is to get one of those neck pillows and put your ankle in the dip for the neck
lonewolfb: bye Kim
bev: that's a good idea because it is close to the heel
lonewolfb: your foot needs to be propped where there is no pressure on it
WonderW-: bbl guys
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lonewolfb: bye laura
lonewolfb: actually bev-would be best to stay out of chair for a bit
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lonewolfb: so you can prop foot up better
lonewolfb: ok I guess this closes the meeting
bev: I know but I have a hard time staying in bed during day. I like to stay on the go.
lonewolfb: goodnight bev and moooo
lonewolfb: lol-better to stay down a day or two than to lose a foot