Formulary Case Report: Coccyx Ulcer
|
Subject:
59 Year Old Male
Primary Diagnoses:
Pressure Ulcer
Location:
Ischial Tuberosity
Wound Type:
Stage 4 Pressure Ulcers
Prior History:
Patient is a paraplegic living in his own home with his wife. Patient is able to ambulate using electric wheelchair. Patient also requires assistance of a PCA on a daily basis for activities of daily living and wound care. Patient’s wound developed in July of 2007 while staying in a nursing facility. MRSA noted.
Treatment Protocol:
AHS’ Formulary beginning 10/23/08. PEMF BID Ordered on October 23nd, 2008. AHS Ag Silver solution ordered on October 23rd, 2008 used during dressing changes and cleaning.
Standard Care:
Wound Cleanser, Honey Med dressing, Calcium Alginate and Allevyn.
Starting Measurement:
Left Ischial: Starting Measurement – 3.0 cm x 1.0 cm x 2.9 cm with undermining measuring 3.0 cm.
Starting Measurement:
Right Ischial: Starting Measurement – 3.4 cm x 2.2 cm x 1.1 cm with undermining measuring 3.7 cm
Patient Outcome:
Left Ischial wound healed on May 15th, 2009. Right Ischial wound is 97% healed by volume as of June 1, 2009.
Healing Progress Left 11.06.2008  Left 05.15.2009  Right 11.06.2008  Right 05.15.2009 |
