-------Original Message-------
 
From: Jackie
Date: 9/27/2006 5:07:08 PM
To: [email protected]
Subject: Re: CS>Honey Honey Honey
 
 
 Well,
 
We just applied the honey using a squirt bottle,  pure honey,  not thinned
out at all.   Just to the areas that
look infected,  or look as though there is dead tissue that needs removed.  
If you have healthy tissue, no
need to use the honey.  Just pack the wound as described.
 
As far as the salt water,  trying to duplicate the salt content of the body
s natural
fluids.    This woman told us that if the water tasted salty to us,  that it
had too much salt.
I honestly cannot remember  (  that was over twenty years ago )  how much
salt we added,
but it was not very much.   Just enough to make the water seem a bit 
thicker"  if that makes
any sense.   The osmolality of the water was changed just a bit so it seemed
thicker.  
 
She did not seem to have any pain when we did this.   She had alzheimers, 
pretty advanced.
 
When you have very very deep wounds,  they are deeper than the nerves if
that makes any sense,
and if a person starts having a lot of pain with the wound care,  you then
know that you are making
progress because the wound is progressing to the level of the nerves and
that the nerves are also
healing.  
 
Also,  I can remember that this woman had us put the bottle of peroxide into
warm water,  as a way
to warm the peroxide ( similar to warming a baby bottle ),  it is possible
that this helped to make it more comfortable,  but she never
did give any indication that she had pain.  
 
When we packed the wound,  we just put the gauze into the salt water
solution so that it was saturated,
squeezed it out,  and then packed the wound with the squeezed out gauze  all
the way to the top.   When you
pack any wound,  you have to be careful not to go over the wound onto
healthy skin,  it will cause the skin to macerate 
( like prune fingers after you do a lot of dishes  )  and then this
macerated skin will break down causing the wound
to get bigger rather than smaller.  That is what the A and D ointment helped
with,  to protect the skin around the wound
from any possible overlap or moisture content.  There may be something more
natural than A and D ointment that you could use.
 
The gauze will more than likely be fairly dry when you go to remove it for
the next dressing change.   If you are trying
to remove dead tissue,  this is a good thing,  as it will debride  ( remove
) the dead tissue little bits at a time.   If
you are not trying to remove dead tissue,  but just have nice healthy
growing tissue in the wound,   you can use some
of the sterile saline water to re-moisten it so it will come out.  You may
get a small amount of bleeding as you are removing
the dead tissue,  but this is also good,  you have reached well circulated
healthy tissue,  you have made an accomplishment.
But,  this should be very small amounts,  lasting only a few minutes.   Can
be scary though if you are not used to blood...lol....
 
When you take out dry gauze from a wound such as this,  it is uncomfortable
for the patient.   So,  unless you are
trying to get rid of some old dead black, brown, or yellow tissue,  be sure
and moisten it.
 
I will try and watch the net for a recipe to make 0.9% saline,  which is the
natural saline content of body tissue and fluids.
When I find it,  I will post.  I still do wound care.....lol....but I have
the luxury of pre-mixed saline,  so I do not know the recipe,  but
will try and find it.....I am sure it is in one of my books.    I am a
dis-enchanted nurse.
 
I am certain collidal silver would have helped us quite a bit back then if
we had known about it.....lol....hindsight is twenty twenty
so they say......lol...... 
 
Love Jackie
 
-------Original Message-------
 
From: [email protected]
Date: 9/27/2006 4:27:28 PM
To: [email protected]
Subject: CS>Honey Honey Honey
 
Dear Jackie,
 
That was such a great story of home nursing - the best kind of care, imo.
I'd like to ask for a few more details so I can duplicate your results if
ever needed.  Exactly how was the honey applied - straight from the
container or thinned out?  When you 'packed the wound' with the salt water
solution and gauze, how was that done - did you pour the water into the
wound cavitation so that it pooled and then use a gauze cover or...?  And
about how much salt:water?  Also, was any of this painful to the patient.
esp. the peroxide?
 
Thanks very much,
Deborah
 
 
 
 
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