A Vet's Pet's wound management post mass removal!

Re: A Vet's Pet's wound management post mass removal!

bongo — Mon, 07 Feb 2011 22:29:15 GMT

[quote user="lizabarf"]

Agree with above, also I went on a cpd about wounds and they were saying that you shouldnt be flushing with iodine as it wont allow the wound to heal, they said you should just use sterile saline. Good luck x

[/quote]

also heard this at a lecture at BSAVA last year, the use of hibi and/or iodine just cleans away all the stuff needed to form granulation tissue

Re: A Vet's Pet's wound management post mass removal!

Susan Jackson — Fri, 04 Feb 2011 19:25:08 GMT

Has anyone swabbed to check whether it's bacterial? MRSA?

I had a vet do same thing when removed a mast cell from a shoulder area. Broke down due to histamine, used piriton etc. Took 3 months to fully heal and at that point the vet started to breath again.

Re: A Vet's Pet's wound management post mass removal!

Phrin Vernon RVN — Fri, 04 Feb 2011 11:03:52 GMT

[quote user="Sal the 1st"]

[quote user="Lesley Stinson"]

The vet may know that the outcome is not good and just wants the dog to live a happy life until the end. Harassing the dog with constant bandage changes may upset him and give false hope

It's hard for people to except death and being a vet doesn't make it any easier when it's your own dog.

[/quote]

I agree with this. The vet is I would imagine very aware of the prognosis. Its good that people have suggested various dressing they feel might help but there comes a time when somebody has decided a course of action you have to respect their wishes. It doesnt mean that they dont care and it doesnt mean they are ignoring you, it just means that this is the way they can handle it.

Be careful about 'nudging the vet along' - this could quite easily turn into them feeling that you dont think they are capable of looking after their own dog even if it is being done with the best of intentions

[/quote]

Thanks for all the replies, especially this angle.

Re: A Vet's Pet's wound management post mass removal!

Sal the 1st — Fri, 04 Feb 2011 10:57:18 GMT

[quote user="Lesley Stinson"]

The vet may know that the outcome is not good and just wants the dog to live a happy life until the end. Harassing the dog with constant bandage changes may upset him and give false hope

It's hard for people to except death and being a vet doesn't make it any easier when it's your own dog.

[/quote]

Re: A Vet's Pet's wound management post mass removal!

lizabarf — Fri, 04 Feb 2011 08:49:39 GMT

Re: A Vet's Pet's wound management post mass removal!

shelly jefferies — Fri, 04 Feb 2011 08:43:45 GMT

Mannuka honey is definately the way to go here, why not pack with mannuka honey and then cover with and eclypse adherent ( contains like naoppy granules to absorb dischagre and adherent so no need for other dressings or bandages.) alternatively pack with mannuka then cover with gauze swabs and hold in place with staysutures much like you would for open peritoneal drainage.

Maybe tackle the vet by suggesting what he would do if clients dog, wouldn't he recommend t-shirt etc??

Re: A Vet's Pet's wound management post mass removal!

Donna France — Fri, 04 Feb 2011 07:48:23 GMT

[quote user="Phrin Vernon"]Any ideas what we as nurses can do? Including how to gently nudge the vet along?[/quote]

Aw what an awful situation,

we have been using manuka impregnated gauze (got from NVS) on a nasty degloving wound and we are amazed by the results, I was a little skeptical but am truly flabbergasted by the results

Maybe try one of those incorperated with some for of body bandage/t shirt set up

good luck!

Re: A Vet's Pet's wound management post mass removal!

Lesley Stinson — Thu, 03 Feb 2011 23:00:18 GMT

You could try using a stretch net to hold the dressings in place. It's like fishnet tights and what man dislikes fishnets. It is more comfortable for the dog to wear and allows full movement.

The vet may know that the outcome is not good and just wants the dog to live a happy life until the end. Harassing the dog with constant bandage changes may upset him and give false hope

It's hard for people to except death and being a vet doesn't make it any easier when it's your own dog.

Re: A Vet's Pet's wound management post mass removal!

Phrin Vernon RVN — Thu, 03 Feb 2011 22:44:06 GMT

Thankyou Gemma for replying. The problem is that the vet will not entertain any thoughts of bandiging, t shirts etc - all he does is bring her in for us to flush the wound.... and worry lots!

The manuka honey he applied today was but a lil smear - we wanted to truley pack the wound and apply something to keep it in there... but when it's a vets pet its hard to intervene

Re: A Vet's Pet's wound management post mass removal!

Gemma Harrison — Thu, 03 Feb 2011 22:37:28 GMT

I would probably carry on with the manuka honey and bandages, but maybe put a t-shirt on her as well. We have had such fantastic results with the manuka honey. Good luck