Abstract

Introduction and social history This case study presents the usc of a novel wound management product used to treat pressure ulcers on a diabetic patient's foot. Mrs H is an 81-year-old married lady who, prior to April 2004, had been relatively independent. She lived on her own, was self-caring and mobilised short distances with the aid of a zimmer frame. Mrs H had no official home help but her daughter would visit her three times a week to help as necessary. Mr H was cared for in a nursing home. In April 2004 Mrs H was admitted to her local hospital for a total of 10 weeks with recurrent chest infections. Shortly after this she was readmitted with leg oedema, confusion and decreased mobility. After several weeks she was transferred for respite care but readmitted within days with congestive cardiac failure. (This cycle of recurrent admiSSions and respite continued for a total of six months). Previous medical history includes a left femoral popliteal bypass graft in 1998 that was known to have occluded by 2002, a myocardial infarction (2004), congestive cardiac failure, atrial fibrillation and type 1 diabetes mellitus.

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