040922 - ..
040923 - Lana considered switching to Enluxtra, so that the customr can changed
040924 - the dressing once or twice until the next meeting. Finally, decided
040925 - to continue with Hydrofera Blue Bacterostatic dressing, because since
040926 - switching on 151130 0800, ref SDS 21 3Q8M, healing increased
040927 - significantly. She applied the standard adhesive 4" square bandage,
040928 - which has been used in this case since 151130 0800. ref SDS 21 3Q8M
040930 - ..
040931 - Today, Lana decided to omit wrapping the dressing with 4" gauze roll
040932 - and 4" Kobin elastic tape used since debridement surgery on 150923.
040933 - 150923 1530, ref SDS 3 KB89 She explained the wound is so small now
040934 - that there is sufficient adhesive strength from increased skin contact
040935 - with the foam bandage simply by placing the netting over the bandage.
040937 - ..
040938 - This will hopefully prevent further atrophing of the left calf muscle,
040939 - caused by wrapping the leg the past 3 months, reported on 151218 0800.
040940 - ref SDS 27 ME5M
040942 - ..
040943 - Lana examined the wound on the right knee from the fall last month on
040944 - 151116, shown in case study on 140101 0600. ref SDS 1 RI4H
040946 - ..
040947 - She feels this wound has closed, so instead of applying Hydrofera Blue
040948 - Bacteriostatic dressing, which was difficult to keep in place since
040949 - the last meeting on 151218 0800, ref SDS 27 EI3F, she used a special
040950 - bandage that has better adhesive than the cloth tape. She supplied 2
040951 - of these bandages to change the dressing twice until the next
040952 - meeting.
040954 - ..
040955 - Lana is very pleased with progress healing the hematoma wound on lower
040956 - left leg.
040958 - ..
040959 - Lana again prescribed customer apply steril moistening to Hydrofera
040960 - Blue Bacteriostatic wound dressing protocol on 2 - 3 day intervals, as
040961 - reported on 151207 0800. ref SDS 24 1E3F This will be performed as
040962 - done yesterday on 151221, shown in case study on 140101 0600.
040963 - ref SDS 1 E77M
040965 - ..
040966 - Lana supplied 2 syringes with steril liquid for moistening the
040967 - dressing; do not need more supplies, because other wrappings are now
040968 - omitted, per above. ref SDS 0 1X6H
040970 - ..
040971 - Lana will be on vacation next week, so scheduled next follow up in
040972 - Wound Care on 160104 0800.
040974 - ..
040975 - She plans to paint the ceiling in her home.
040977 - ..
040978 - Lana also seemed to mention something about fasting for 36 hours, and
040979 - explained this a health exercise.
040981 - ..
040982 - On leaving the clinic, stopped at the front desk. Megan scheduled
040983 - next meeting with Lana in Wound Care for 160104 0800.
040984 -
040985 -
040986 -
040987 -
040988 -
040989 -
040990 -
040991 -
040992 -
040993 -
040994 -
040995 -
0410 -