Wound care home visits needed urgently, help!
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Anonymous
| Please help me. I have been calling wound care centers and looking online, and I can’t find any nurses that will come treat my parent’s open leg wound which is getting worse and has been present for over a month. They’re almost immobile due to late Parkinson’s, and the assisted living nurses don’t seem able to effectively treat the wound. Parent has been on oral antibiotics from their dermatologist, not helping. Please recommend if you know of any wound care at-home services? |
Anonymous
| If they are in assisted living, there should be an RN who's the director and should be able to get your parent into visiting nurses or similar skilled care service. It won't be done by the staff there. Medicare will cover the visits. |
Anonymous
| Look at Visiting Nurses Association. |
Anonymous
| The RN's there should be able to treat the wound, the CNA's not as much you should ASK the charge nurse for help. Have you been there in person when the dermatologist makes their rounds? I would be waiting right there. Someone is paying for this care and they need to do their job. |
Anonymous
| What else does the dermatologist have besides oral antibiotics? That doctor, as well as the on-site doctor, need to get involved -- not just the nurses. |
Anonymous
| Does your parent have United Healthcare Medicare? If so, that may be the problem; there are so few home care agencies that will work with UHC. |
Anonymous
| Yes, he has United healthcare with Medicare. I think I just need to take him to the E.R. at a hospital where there is a wound care clinic, because no one else will see/treat him urgently, they are only offering me appointments for him for two weeks later; way too late. The nurses at assisted living are telling me I have to arrange for his wound care as they’ve been dressing it once daily for a while but can’t further treat wounds there. It is ridiculous that it’s like this. |
Anonymous
|
Find a wound care center that will apply a Amniotic membrane graft.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8706466/ |
Anonymous
I would call Medicare and ask about switching him to a different health care plan - or return to straight Medicare. While your dad has a home care benefit with UHC, agencies don’t often work with them due to low reimbursement rates, I believe. I work in a hospital and it’s notoriously difficult for the discharge planners to find home care agencies that will accept UHC. |
Anonymous
| Yep, you might need to go to ER for wound care, if it’s urgent. |
Anonymous
|
Wounds take much much longer to heal in elderly patients.
Is the wound a result of lying in bed all day? Is your parent incontinent or in a diaper? That question is unrelated to the leg wound. I only bring it up because there may be more wounds you haven't seen. |
Anonymous
|
Can you use something like Inova Home Health? Many of the hospitals have programs like this now:
https://www.inova.org/our-services/inova-home-health |
Anonymous
| I would take him to the ER. |
Anonymous
| At my parents assisted living the NP that comes by weekly will prescribe “wound care” if any residents get skin tears, etc..A wound care nurse then comes in and treats the wounds until problem resolved. The wound care nurse works for a different practice. Have his doctor or NP prescribe wound care and someone should come out. Your assisted living should know how this works. |
Anonymous
| Call Robbie 301 938 8343 he works with Synergy and they will have a nurse come. |