1. stanleypj

    stanleypj Registered User

    Dec 8, 2011
    10,650
    North West
    My wife Sue has a pressure sore - her first. It has now been present for 10 days. The Nursing Home where she is a resident have referred her to the local tissue viability service. No indication about when they might respond. In the meantime she is being kept off her bottom as much as possible and the sore is protected with a dressing (not adhesive).

    Various people have suggested Manuka Honey which I have known about and used previously. The problem is that I can't just buy it and apply it. Well, I could, obviously, but I'm pretty sure this could cause a big problem with the NH. I will ask them about it.

    Has anyone else used MH for this purpose in a care home?

    Thanks for reading.
     
  2. CeliaW

    CeliaW Registered User

    Jan 29, 2009
    5,655
    Hampshire
  3. jenniferpa

    jenniferpa Volunteer Moderator

    Jun 27, 2006
    39,432
    I'm not sure if they are 1) available over the counter or 2) available in the UK but there are manuka honey impregnated dressings available which might be easier to get the home to use.
     
  4. stanleypj

    stanleypj Registered User

    Dec 8, 2011
    10,650
    North West
    Many thanks Celia. I will check out that link.
     
  5. stanleypj

    stanleypj Registered User

    Dec 8, 2011
    10,650
    North West
    Many thanks Jennifer. They are available in the UK and am planning to ask the home, and the visiting GP if I can, about them.
     
  6. nitram

    nitram Registered User

    Apr 6, 2011
    18,924
    Male
    North Manchester
    "The Nursing Home where she is a resident have referred her to the local tissue viability service. No indication about when they might respond."

    Somewhat OT
    In my area a referral by a GP, especially the initial referral, to TV nursing has a fast response, usually the next day unless the dreaded week ends and bank holidays are involved.

    If you contact the GP about Manuka Honey you could chase up the referral.

    IMHO any pressure sore needs expert advice on treatment and prevention of further sores.
     
  7. Sue J

    Sue J Registered User

    Dec 9, 2009
    8,042
    Hi Stanley

    Sorry to read that Sue has a pressure sore.:( A was speaking to a nurse friend recently who was wondering about manuka dressings for her mother's weeping legs but was advised that they are only used if there is infection present.

    I agree with Nitram,
    . In my experience also, if there is a proper regime, to prevent pressure sores, in place, it is the same regime that will enable the healing of any current sores e.g. nursing in bed with regularly 2 hrly turning to allow a sacral sore to heal and or/ ensuring only left seated for minimal length of time e.g. 30 mins.

    If Sue is in a Nursing Home there must be a Registered Nurse who should understand about assessing for tissue viability and have practices in place to prevent sores, it is basic nursing care. I hope the home will be able to discuss an action plan with you in the interim of assessment from a tissue viability nurse.

    Hope it improves soon with or without honey.

    Love
    Sue:)
     
  8. nitram

    nitram Registered User

    Apr 6, 2011
    18,924
    Male
    North Manchester
    "... nursing in bed with regularly 2 hrly turning to allow a sacral sore to heal and or/ ensuring only left seated for minimal length of time e.g. 30 mins...."

    Reducing the pressure on susceptible parts of the body is only part of the treatment/assessment, the TV service should take an overall view.

    Increased risk
    There are several factors that increase the risk of developing pressure ulcers. These include:
    ● mobility problems – anything that affects your ability to move some or all of your body
    ● poor nutrition – for your skin to remain healthy, it requires nutrients that can only be supplied by eating a nutritious diet
    ● an underlying health condition that disrupts your blood supply or makes your skin more vulnerable to injury and damage
    ● being over 70 years old
    ● urinary incontinence and/or bowel incontinence
    ● serious mental health conditions

    These are discussed in more detail below.


    http://www.nhs.uk/Conditions/Pressure-ulcers/Pages/Causes.aspx
     
  9. stanleypj

    stanleypj Registered User

    Dec 8, 2011
    10,650
    North West
    Many thanks nitram. I hope you're right. Didn't get to see the GP but mentioned manuka to lead nurse C and she said the sore was healing and she was about to try another dressing that they use. She didn't rule it out.
     
  10. stanleypj

    stanleypj Registered User

    Dec 8, 2011
    10,650
    North West
    Many thanks Sue. They have said an hour and a half out in the w/chair is OK (that's about the amount of time it takes to get through the evening meal). There are normally several Reg Nurses on duty. I still think the starting point was the hospital appt fiasco when Sue was, quite unnecessarily in the w/chair fro about 6 hours. The mark which developed into a sore was spotted a week later.

    Sue has amazing skin. Everyone comments on it. She never had any kind of sores when we were looking after her at home, only about 6 months ago. We did always use medihoney on her skin after a clean-up or when she'd been on the commode. We never turned her either. This is another thing I must raise.
     
  11. stanleypj

    stanleypj Registered User

    Dec 8, 2011
    10,650
    North West
    Obviously all those things apply in Sue's case (except perhaps the blood supply one and the poor nutrition - it's only poor in the sense that we need her to eat more).
     
  12. di65

    di65 Registered User

    Feb 28, 2013
    771
    new zealand
    Please be aware that there are now many countries claiming to have "Manuka Honey", but the only true version comes from New Zealand. Check the country of origin label on the container.
    The manuka bush is native to NZ, making it a unique product, but sadly other countries are now trying to cash in on the medicinal properties. It's also yummy to eat:D
     
  13. Lawson58

    Lawson58 Registered User

    Hi di65,

    I see that you are a kiwi but Manuka honey comes from a plant called leptospermum scoparium which is a native of both New Zealand and Australia so it is not quite right to say that the only genuine Manuka honey comes from NZ. Both countries produce real Manuka honey though it is dreadfully expensive now because of all the attention it is being given at the moment.

    Other types of honey can be used a simple first aid dressing for minor cuts and things, especially for sensitive skin, being sure that there are no allergies of course.
     
  14. Del24

    Del24 Registered User

    Aug 17, 2014
    67
    Hertfordshire
    Honey

    Please try Medihoney Barrier Cream available from GP or over the counter.
    It works for us.
     
  15. stanleypj

    stanleypj Registered User

    Dec 8, 2011
    10,650
    North West
    Many thanks Del. We always used Medihoney when Sue was at home. She had no pressure sores then. There are tubes of medihoney in the room but I don't think it's being used all the time. I need to remind the carers.
     
  16. stanleypj

    stanleypj Registered User

    Dec 8, 2011
    10,650
    North West

Share This Page

  1. This site uses cookies to help personalise content, tailor your experience and to keep you logged in if you register.
    By continuing to use this site, you are consenting to our use of cookies.
  1. This site uses cookies to help personalise content, tailor your experience and to keep you logged in if you register.
    By continuing to use this site, you are consenting to our use of cookies.