Case study: Unstageable pressure ulcer
Wound type:
Pressure injury
Patient
66-year-old male
History
Diabetes, chronic kidney disease, obesity, opioid abuse
Sacrum wound achieved complete re-epithelialization in seven months*
*Individual results will vary
Wound presentation
- The patient arrived at the clinic with a wound that is classified as an unstageable pressure injury over the sacrum
- Current treatment included triple antibiotic ointment and gauze dressing daily
- The wound measured 23cm x 17cm x 3cm
Treatment
The patient was treated with sharp debridements and the daily application of SANTYL◊ Ointment for 22 days.
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Baseline
Sharp debridement performed along with the use SANTYL Ointment daily with 0.125% Dakin’s solution moistened gauze with dry gauze cover dressing
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Week 1
- Sharp debridement revealed a much deeper section
- Wound measures 22cm x 16.1cm x 6cm
- Continue SANTYL Ointment daily
- Dressing with 0.125% moist gauze packing with dry gauze cover dressing changed daily
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Week 4
- Wound measures 19.8cm x 15.5cm x 6cm
- 10% yellow necrotic tissue, 70% soft, pink granulation tissue, 20% epithelial with moderate serous drainage
- Sharp debridement during visit
- SANTYL Ointment and Dakins 0.125% moistened gauze with dry dressing applied daily
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Week 7
- Patient seen in the office setting with home health nursing visits daily for treatment and dressing changes
- Wound measures 12cm x 7.5cm x 5.2cm
- 10% yellow necrotic tissue, 70% soft, pink granulation tissue, 20% epithelial with mild serous drainage
- Sharp debridement during visit
- SANTYL Ointment and normal saline moistened gauze with dry dressing applied daily
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Week 14
- Patient missed several in office appointments, home health nurse continues to come daily, wound continues to improve
- Wound measures 7.5cm x 3.2cm x 1.4cm
- The patient did not follow up again
Result
Sacrum wound achieved complete re-epithelialization in seven months*
*Individual results will vary
Download patient case study: Unstageable pressure ulcer