A non-healing wound on the inner side of the finger in a 98-year-old patient requires careful evaluation and management. Here’s my advice:
Key Recommendations
1. Infection Control:
- Clean the wound gently with **lukewarm water and mild antiseptic (e.g., diluted betadine) twice daily.
- If pus is present, a *pus culture and sensitivity test* is essential to identify the bacteria and guide antibiotic treatment.
2.
Diabetes Screening:
- As suggested by Dr. Rachna, **check fasting and post-meal blood
sugar levels** to rule out diabetes, which can delay healing.
3. Wound Dressing:
- Avoid powders, as they may trap moisture and worsen infection.
- Apply betadine ointment or antibiotic cream (e.g., Neosporin)** and cover with a sterile gauze dressing**.
- Keep the wound **dry and protected** from dirt and friction.
4. Medical Evaluation:
- Non-healing wounds in elderly patients can indicate poor circulation, nutritional deficiencies (e.g., low protein,
vitamin C), or underlying infections.
- A physical examination is necessary to assess wound depth, signs of necrosis, or need for debridement.
Urgent Next Steps:
- If the wound shows **increased redness, swelling, foul smell, or spreading discoloration**, seek **immediate medical attention** to prevent complications like cellulitis or sepsis.
Consultation Needed:
Given the patient’s age and the wound’s persistence, I strongly recommend a **detailed clinical assessment**. You can reach me on WhatsApp at **Eight Zero Zero Nine Eight Two One Three Three Two** for further guidance or to schedule an appointment.