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For the Want of a Nail ….. — 9 Comments

  1. DB,
    I understand your anguish, but try not to be too hard on yourself. An idea–at work, we’ve sometimes put Duoderm on heels. I’m not sure if diabetics can use it, but, if so, it might allow your Daddy’s shoes to fit. Use the whole square, cutting slits into the two opposite edges which will allow the dressing to cup the heel when it’s folded around. We would then cover across with 2″ hypofix tape to keep the edges from rolling/drying. Wish I was there to show you. If this can’t be used on the broken-down heel, you might use it to protect the intact one. Ideally, the dressing would not need to be changed more than every 3 days or so. Keep up your courage–nothing’s perfect this side of heaven.

  2. I appreciate the encouragement, MM, but I can’t help but be aggravated, maybe even angry. It’s just frustrating, after all these years of keeping his feet in such good condition. I know how dangerous sores on feet can be for a diabetic. People have had limbs amputated from something like this.

    I’ll ask the next nurse I see about the Duoderm. Thanks for the suggestion.

  3. The problem with using duoderm on heels is that it often creates more pressure, and using it on a blister that has not broken open can also be a problem because it will create a very moist environment. The best thing to do for a heel blister is to relieve the pressure. There are orthotic devices available that are specially made to relieve the pressure on heel ulcers. These devices come with a sole similar to a shoe, and he will be able to walk with it. You could ask the Hospice nurse to check into something like that.

  4. Thanks, Joe (from PD Warrior), for the information!! I appreciate you taking the time to explain, and I think I’ll call his Podiatrist today to see what they can do about that shoe. Hospice has already told me I can take him to any doctor that is not heart related, as that is what they are there for.

  5. Of all things to let you run out of!! We’ve had the problem of them leaving the wrong size, because they were out of the correct ones.

    I did call the Podiatrist this morning, and he’s coming to the house Wednesday evening to take a look at Daddy’s heel. And the hospice nurse changed the dressing on it today.

  6. For some reason I had difficulty getting into your post yesterday. This a heart breaking story but one I understand only too well. I remember a year ago I was waiting for incontinence pad to arrive…I phoned and phoned for 3 days. In the end one of my daughters who came to visit from some distance did a one hour drive to buy us some. When one of the district nurses did deign to pop in she said she’d forgotten them and would go straight away and get them…….she finally brought them the next morning.
    Rx

  7. Thanks, Joe, for the info. There was a time a few years back when our ET nurse seemed to consider duoderm the answer to everything. I understand thinking on this has gone through some changes. Thankfully, heel ulcers on our geripsych unit have become less common, too.

  8. So far, MM, we’re not dealing with an ulcer, and I sure hope it doesn’t reach that point. The skin is still intact, thank goodness. Hospice is using A&D ointment on several thicknesses of gauze, wrapped with Coban. We’re keeping everything from touching the heels, too.

    My problem is not so much how they’re treating it, as the fact that I truly believe the heel would have been OK if they had ordered the booties when I asked for them.

    Hospice has tried Duoderm on the bottom sores he has, but it keeps turning into a gooey glob, rather than a skin covering.

  9. Thank you very much for sharing your thoughts. It is always great pleasure to read your posts.

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