Promogran Prisma : How and when to use

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Күн бұрын

In this video I will go over everything you need to know about #Promogran #Prisma
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Determining wound infection- • Wound Infection : Dete...
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Пікірлер: 32

@nocturnalgamer8285 2 ай бұрын

Had sepsis in my hand. Had to have 6 IND surgeries. Started with hydrofera blue now I’m on this and a hyperbaric chamber

@pattycake4boss785 Жыл бұрын

Thanks for the video my 85 year old mom has a pressure sore on her butt and her wound nurse that comes out once a week is trying this I hope it works

@NurseAlyssa39 Жыл бұрын

No problem, I hope she has luck with this product. Main thing with pressure ulcers is removing and reducing pressure. (A wound will not heal without doing this or it will be a recurring issue). Longest she should be in one position is 2 hrs. They also have pressure redistributing cushions for chairs (ei. Roho) best of luck !

@pattycake4boss785 Жыл бұрын

@@NurseAlyssa39 thanks so much for your response I had to end up taking her to the hospital this past Friday because the pressure sore had gotten bigger, a wound doctor did a debridement on it and now they're packing it with some sterile gauze and some DI Dak SOl. I hope this really works

@NurseAlyssa39 Жыл бұрын

Once again with pressure sores it's not so much the products that are going to heal the wound. If pressure is not in that area it will beable to start healing. As long as pressure continues the wound will get larger no matter what product is being used

@pattycake4boss785 Жыл бұрын

@@NurseAlyssa39 Thanks so much, your help is valuable

@sugerless20 Жыл бұрын

I developed a blister on my leg after I had an IV in my leg & its taking months to heal. Now they are using prisma.

@harrywright6753 7 ай бұрын

I had a surgical incision wound become infected which produced an area of tissue loss (a hole) around the size a penny and a few mm deep. Prisma has been allowing it to heal beautifully. Lots of fresh granulation wnd its looking really good after a couple weeks of changing the dressing every 3/4 days.

@NurseAlyssa39 7 ай бұрын

I am so happy to hear this product is working well for you! happy healing

@dianamorales6928 Жыл бұрын

I hope it works for me

@NurseAlyssa39 Жыл бұрын

Me too Diane!

@bsd9230 9 ай бұрын

Wont the saline negate the silver antibacterial properties? Can the prisma be cut and packed into a tunneled wound to the bone?

@NurseAlyssa39 9 ай бұрын

Saline can be used with this product. Don't use this on an infected wound.

@sofigiann Жыл бұрын

My friend has a large skin deficiency on her thigh, which occurred after a skin graft from the thigh for a fractured tibia. After 3 months, the skin deficiency on the thigh has not yet healed. A plastic surgeon has used this product the last 3 weaks (once a week), but we don't see any improvement. What would be the best product or practice for this situation?

@NurseAlyssa39 Жыл бұрын

I would need to do a full assessment and see pictures. Wound healing is not just about the wound but the pt as a whole. Has their been suggestions made on nutrition. Is their proper blood flow? Possible bio film (most chronic wound have this) . You can book a full assessment where I help you optimize wound healing, do a full assessment, and give product suggestions, you also get a pdf copy of my guide nutrition for wound healing. You can book down below! I hope to talk to you soon thewoundconsultant.com/ola/services/basic-wound

@bsd9230 11 ай бұрын

After an out of control ingrown toenail infection, the infection went down to the bone... Osteomyelitis of the first digit of the left big toe. Tip of bone is exposed. Within wound. Was debrided 1 week ago from dead skin. On IV antibiotics now for 2 weeks. Using a wet-to-dry dressing of Dakins solution and elevation. Net net, they think bone wont heal and want to amputate BUT are trying 6 weeks on IV Zosin Antibiotics to try to heal. Was wondering if I should switch to Promogran Prisma dressing instead of Dakins. Would this help heal the bone and surrounding tissue? Have you seen this type of wound heal? Love your channel!!

@bsd9230 11 ай бұрын

Fyi... Angiogram showed sufficient but not great blood flow to the toe. Diabetes numbers down from 350 to 160 in 2 weeks. Nearly zero carb consumption and protein shakes and clean eating fish, chicken lean beef, eggs and kale and spinach avocado and eggs. No dressings. No sweets. No sugar or glycemic index risers. Taking Zinc, Vitamin C, D, Magnesium and Dr. Prescribed Potassium.

@NurseAlyssa39 11 ай бұрын

I love that your Dr has taken nutrition into consideration. Many do not. Now, regarding dressings, wet to dry is not something I would recommend because you need to keep a bone moist. With that said there could be a factor I am missing without a full assessment. I would advise against prisma with a bad infection like this because it will also feed the infection. Yes it has silver to prevent infection and for mild local infections, but for your case, I would advise against it.

@bsd9230 11 ай бұрын

@@NurseAlyssa39 thanks so much for your quick response! What dressing would you recommend? And I can then ask my Dr. Sometimes docs get stuck in one modality and then when a patient does research and asks about another avenue... they think about it some more. So net-net I have to keep the wound clean using Dakins (ie medically formulated bleach essentially) but yet the tip of the bone is protruding from the wound. It was pussy last week but today was clean, thank G-d. Any suggestions? What about dissolving Collagen powder in Dakins and impregnating the gauze dressing with that?

@NurseAlyssa39 11 ай бұрын

Normally, I would use a silver or chlorhexidine mesh over the bone area medihoney would also be ok . We just want to keep a just moist environment (like your eye ball) . Switching dressings q 2 weeks to prevent stalling. We never want to mix products either , I would advise against the prisma at this time.

@bsd9230 11 ай бұрын

@@NurseAlyssa39 thanks so much for the quick reply. At first they were using 3 bedatine swabs to clean and then pouring out the remainder of the bedatine solution and covering with a piece of "plain" Adaptic cut to wound size so as not to stick to the wound and then dressing over with surgical gauze and wrapping with a thick rolled gauze to cover and protect. Then they switched to using Dakins solution (essentially medical grade bleach) on a surgical gauze wet, squeeze out the excess and then dress the wound over with dry gauze and wrap....

@stevenschindler7461 6 ай бұрын

I am a paraplegic and my tailbone has 1x1cm pressure which has stalled. the wound has a white tissue edge. The wound clinic has been using meta-honey but it just seems like it stalled. This is the second time within six months this has occurred and this time it’s not healing fast enough and I do spend considerable time off of it. I’m wondering if this product would work? There’s no infection, and it’s a stage two with the white tissue around the edges of it

@NurseAlyssa39 6 ай бұрын

The problem at this time is the medihoney, white edge means maceration . Of you have maceration the wound will continue to break down , there for no healing (the wound is too moist) change in products is needed (bactigras, inadine , acticoat flex) they need to make the call as I have not done a full assessment but somthing that will reduce moisture in the area . Wounds should be kept eyeball moist.

@user-ce9gq5tk1s 9 ай бұрын

My mother is struggling with leg ulcers induced by Hydroxyurea, and the pain is quite severe. I've noticed that if only a single layer is applied directly to the wound bed, it appears to be fully absorbed within a day. Consequently, the secondary dressing used to cover it adheres to the wound, making removal challenging. Would it be advisable to fold the dressing to increase its thickness before application?

@NurseAlyssa39 9 ай бұрын

If prisma needs to be used, you could place a non-stick contact layer overtop the prisma ( adaptic) . What type of cover dressing is being used ? You could use something a bit less absorbent . Moisture balance is very important we do not want a dressing sticking to a wound this is too dry. And it seems like their is exudate considering the prisma is absorbing within the day.

@user-ce9gq5tk1s 9 ай бұрын

@@NurseAlyssa39 Hi Alyssa, Thank you so much for your assistance. I used Prisma on the wound, and on top of the Prisma, I placed Prisma overstop the wound, and a layer of vaseline gauze over Prisma. Over vaseline gauze, I secured everything with a regular adhesive bandage. This time, when I checked it, I was able to easily remove the outer layer bandage and the vaseline gauze. However, the Prisma was still there. I had assumed the Prisma would be fully absorbed, so I just applied a new layer of Prisma on top without removing the previous Prisma layer. Now, two days later, I've found that the Prisma hasn't fully been absorbed. It's stuck to the wound and has dried out. I've tried moistening it to remove it, but it's dried and too painful to peel off. Should I take her to the hospital to have it removed under anesthesia? Or will the Prisma get absorbed if I keep it moist? Truely appreciate your help.

@NurseAlyssa39 9 ай бұрын

Just let it soak in some water for about 5-10 mins it will eventually come off. Make sure to moisten the Prisma when you add it to the wound (normal saline), and you may need to leave the dressing on longer if the Prisma is not all absorbed.

@berechunts 7 ай бұрын

@@NurseAlyssa39 can o I PM . I HAVE SOME QUESTIONS ABOUT MY OPEN WOUND.