Wound Care

Additional Information

Dealing With Pain

Pain can be intense or it can be dull and aching. It may come on suddenly and be related to an injury, possibly warning of potential tissue damage. It may be chronic, lasting for months and not really associated with any particular event. Whatever the cause or character, you need to be able to deal with the pain you have.

Sometimes, people do not tell their health care provider that they are in pain. This may be because they think that pain is an expected part of their health condition. The staff at The Wound Care Center at Montefiore Nyack Hospital wants to help you deal with any pain that you may have. Please let us know if you experience pain or if your current pain management methods are not effective. Please be sure to let us know what causes changes in your pain level and methods for dealing with the pain.


Are You at Nutritional Risk?
If you answer “yes” to any of the questions below, you may be at risk of having malnutrition. Poor nutrition can result in poor wound healing. It can increase your risk of developing new ulcers. If you are at nutritional risk, ask your doctor or a Registered Dietician for help to improve your diet. Montefiore Nyack Hospital’s registered dieticians offer one-on-one nutritional counseling services for individuals who wish to develop a personalized eating plan based upon their specific health condition.

  • Do you have a disease, illness, or chronic condition that causes you to change the way you usually eat or makes it hard for you to eat?
  • Do you think you have a poor diet?
  • Do you have tooth or mouth pain, gum disease, missing teeth or poorly fitting dentures?
  • Do you have too little money for food?
  • Do you live and eat alone?
  • Are you taking a lot of medications?
  • Have you been gaining or losing weight without meaning to?
  • Do you have trouble walking, shopping or preparing food?
  • Are you over 80?

For further information about nutritional counseling services at Montefiore Nyack Hospital, please call 845-348-2167.

Skin Care

Why is Skin Important? 
Our skin is almost indestructible. It is constantly being renewed, and has both protective and adaptive properties. Some of its functions include:

  • The prevention of fluid loss
  • Temperature regulation by evaporation of perspiration and heat storage
  • The production of vitamin D, the excretion of metabolic wastes
  • Identifying the sensations of touch, pain, temperature and pressure
  • The ability to use/absorb some drugs like steroids and hormones
  • Prevent allergic reactions 

What Factors Influence Skin?
Age, physical limitations, disease(s), trauma, nutritional state and hygiene all affect the appearance, condition, health, suppleness and integrity of your skin. The natural aging process results in your skin becoming thinner, less elastic, more tissue-paper like, and more easily damaged during your daily activities.

Underlying medical conditions, or the medications used to treat them (such as diabetes, kidney or liver problems, heart, blood vessel and lung disease), can increase the risk of bruising, trauma, drying, splitting, cracking or peeling.

Then, sensitive, fragile skin can be jeopardized by simply bumping or brushing up against an object or scratching or rubbing an itching area. If dryness, chapping or peeling are also present, a broken area may result and become an open sore. If there is an underlying disease present, the sore can increase in size, and become infected. It can cause much physical discomfort and be quite costly.

Physical limitations can result in skin care problems if mobility is restricted or severely hampered. This happens to persons with total body or long leg casts, traction, strokes, hip joint replacement, arthritis, or other disabling conditions.

What are some common skin care problems that need attention? If not properly treated, the following list of problems may lead to broken skin, ulcerations, infections, and chronic wounds. If any of the following happens to you, consult your doctor:

  • Development of a wound, especially on the lower leg or foot
  • Dry, cracked, peeling skin
  • Blisters
  • Bumps with pus
  • Dermatitis (dry or weeping)
  • Allergic reactions
  • Multiple or extensive skin tears
  • Fissures of the skin on the feet, especially the heels