A Guide to Managing Wound Odor in Hospice

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Wound Symptom Management: Odor Control

  • Charcoal dressing
  • Aromatherapy
  • Metronidazole (Flagyl) 250- 500 mg po Q 6 – 8 hours.
  • Crush a tablet of Metronidazole (Flagyl) and sprinkle the crushed tablet of Metronidazole (Flagyl) in the wound bed (Can be compounded with Silvadene).
  • Moisten 4 – 8 washcloths and apply spearmint toothpaste to one washcloth at a time. Work the toothpaste into the washcloth as if you had a bar of soap in the washcloth and were attempting to get more lather from the bar of soap. Place the mint smelling cloths around the patient.
  • New, unused cat litter under the bed.
  • Charcoal briquettes
  • For head & neck cancer or a protruding cancer with odor, you can apply buttermilk.
  • For mouth odor and/or bitter taste in the mouth, you can have the patient rinse and expectorate (spit) a (1/2) water and (1/2) vinegar solution.
  • Apply GCP (Gentamicin/Clindomycin/Polymyxin B) or Dakins solution to gauze and apply to wound bed.

* Note: These are wound care guidelines only. Consult with the primary physician for specific orders.



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