You know I recently saw a short clip from a friend who is a wound care specialist and she addressed this with an interesting product. I will attech here and maybe you can use it. I believe you can get it on Amazon. Best of luck,Carm.
MEDIHONEY: A GREAT FIRST CHOICE FOR STALLED WOUNDS THAT HAVEN'T PROGRESSED WITH STANDARD CARE
What is MEDIHONEY? It is a topical wound care product made with Active Leptospermum honey. Researchers have found that the Leptospermum species has unique plant derived components that make it ideal for the management of hard to heal wounds and burns. MEDIHONEY dressings are standardized and sterilized by gamma irradiation. The sterilization process guarantees the removal of bacterial spores such as clostridium botulinum spores which may be present in unsterilized honey without loss of product effectiveness. MEDIHONEY comes from a traceable source and is produced under hygienic conditions. It is free of pesticides and antibiotics and is safe for use on patients of all ages. Medical grade "active Leptospermum honey is considered a "mono-floral" (ie: from one source) honey, from the pollen and nectar of the Leptospermum (or Manuka) plant in New Zealand. Active medical-grade Leptospermum honey is sourced only from the manuka (Leptospermum scoparium) plant in New Zealand.
MEDIHONEY cleans the wound and rapidly lifts dead tissue. It helps to reduce edema and wound pH and provides a moist healing environment. It can be used from the beginning of a wound all the way to healing. The high sugar content in MEDIHONEY has a beneficial osmotic effect that draws lymph from deeper tissues through the wound, constantly bathing the wound bed. This helps to cleanse the wound and remove devitalized tissue by drawing fluid and dead tissue away from the wound and into the dressing. Regular use of MEDIHONEY on diabetic foot ulcers has not been shown to alter glucose levels during routine monitoring and so it is safe for people with diabetes. .
The MEDIHONEY product can be left in place under compression and off-loading devices. The frequency of the dressing change will depend on the patient's condition and the amount of drainage coming from the wound. It is unique among all types of honey in that it maintains its effectiveness even in the presence of wound fluid. I have used MEDIHONEY successfully in healing chronic venous stasis ulcers and diabetic foot ulcers. MEDIHONEY has a history is effective in healing a variety of wounds including non-healing post-op wounds, stalled venous leg ulcers, pyoderma gangrenosum, recalcitrant diabetic foot ulcers, and many others.
There are several formulations of MEDIHONEY for varying levels of exudate management:
MEDIHONEY Dressing is 100% active Leptospermum Honey content and comes from a tube. It is used safely in tunneled wound or wounds with undermining. It is good in hard-to-dress wounds and other wounds that would normally require a gel or paste.
MEDIHONEY Calcium Alginate Dressing is 95% active Leptospermum Honey content and consists of honey impregnated into a calcium alginate dressing. As wound fluid enters the dressing, the honey is released while the dressing absorbs and forms a gel. It is used in the same fashion as a typical calcium alginate or other gelling fiber dressing.
MEDIHONEY Honeycolloid Dressing is 80% active Leptospermum Honey content and comes in two versions: adhesive and non-adhesive. The adhesive version is occlusive like a traditional hydrocolloid, having a thin film backing and adhesive border. The non-adhesive version is not occlusive, and requires a secondary dressing to hold in place. Both versions absorb light to moderate amounts of exudates. The honeycolloid pad will form a gel as it warms up with body temperature and as it comes into contact with wound fluid. The adhesive version is an ideal dressing for lightly draining Stage II and Stage III pressure ulcers, as well as skin tears that can be managed with an adhesive dressing. The non-adhesive version can be used similarly to an alginate or a hydrocolloid paste to either cover or fill a partial-to-full thickness wound.
The first time I heard about MEDIHONEY was at a national convention in St Louis, Missouri in 2009. As I walked by the MEDIHONEY exhibit I was pretty skeptical as to what in the world honey would do for a wound. I chuckled and thought to myself, "Good luck trying to sell that stuff!" The next year in Phoenix, Arizona at the national convention I made a bee line (pun intended) to the MEDIHONEY exhibit booth and apologized to the sales representative for my previous attitude. You see, between the two conventions I had successfully used MEDIHONEY to heal wounds and was now a believer in the product!!
MEDIHONEY dressings create a moist environment promoting optimal conditions for wound healing. The dressings, with their high sugar content also display a high level of osmotic activity. This active process of continually pulling lymph fluid from deep within the wound to the wound bed surface helps to reduce edema while cleansing the wound bed. Additionally, plaminogen within the lymphatic fluid converts to active plasmin. This is known to cleave fibrin, which holds slough to the wound bed, thus providing effective debridement. There are various dressings in the line to handle a variety of wound conditions, from highly exudating to moderate drainage, to non-exudating.
Wounds have been shown to heal more rapidly in an acidic environment, which helps to explain why MEDIHONEY with a pH near 3.5 improves the wound healing environment. It has been shown that reducing the pH of a wound will help to modulate harmful proteases and improve oxygen diffusion. In a study of 20 chronic, non-healing wounds treated over a 2 week period, wounds with a pH of 7.6 showed a 30% reduction in wound size. As the pH level increased, wounds healed less effectively or worsened. The use of MEDIHONEY resulted in a significant reduction in surface wound pH. Each decrease of 0.1 unit of pH was correlated with an 8% reduction in wound size.
Honey tends to become less viscous (more runny) when it comes into contact with abraded skin, open wounds, and wound fluid. This makes it very difficult to use honey as a wound dressing without having to change the dressing several times per day. MEDIHONEY dressings address this issue. By using certain gelling agents, high honey content (greater than 50% weight/weight) dressings are manufactured to ensure that high levels of active medical-grade honey remain in contact with the wound for extended periods of up to 7 days when in the presence of wound fluid!
Catalase is an enzyme found in wound fluid that breaks down a key active component in most honeys. Only the Leptospermum species has been shown to retain its initial activity level even in the presence of catalase. The medical-grade active Leptospermum honey used in MEDIHONEY is controlled against a rigorous set of systems and standards, including a rating system to quantify level of medical activity in wounds and burns.
I recently used the honeycolloid on a pressure ulcer on a patient's ankle successfully. Another patient's calf wound is healing nicely as I write this.
I look forward to helping more patients with stalled, non-healing wounds get back on the road to healing!