Case report 2
Pressure sore in the sacral region.
Introduction
Pressure sores remain a significant healthcare concern, especially in the elderly and immobile
population. Older people very often are less mobile, impaired in nutrition and have a poor
general conditions. A good prevention and treatment is obligatory to avoid decubitus lesions
that easily can infect and lead to more morbidity.
Curative dressings can help wound healing and avoid further problems.
Case report
Patient situation
An 85 year (° 16/05/1915) old woman has a small 2.5 by 1.5 cm, 1 mm deep category 2
pressure ulcer in her sacral region. The 8th of July a pressure ulcer has been diagnosed at
sacral region. (Picture 1)
The patient is well nourished and is not dehydrated. The patient scores 10 on the scale of
Norton. She is confused, has a moderate mobility problem and is incontinent for faeces and
urine.
Picture 1
Used treatment and results
On July 8th a pressure ulcer has been diagnosed at sacral region. The dermal tissue is
uncovered and visible. The wound is moist and painful.
As a treatment a RESKIN® silicon dressing of sufficient surface was applied after cleansing
and drying on the wound and the surrounding skin. The surrounding skin was irritated and
red. The patient was put on a alternating mattress. The dressing remained on the wound till
July 12th. (picture 2).
Picture 2
Then the dressings was removed and wound progression was already visible. The wound
measured 2 by 1.5 cm and was 1mm deep.
July 15th the dressing was removed. (Picture 3) The wound was 1.5 by 1 cm and 0.5mm deep.
The wound caused les pain. The patient did not had any pain sensation during removing or
applying the dressing.
Picture 3
A new RESKIN® silicon dressing was applied on the cleansed and dried wound.
July 17th the wound was almost closed and measured 1 cm by 0.3 mm. (picture 4)
picture 4
July 20ththe dressing was removed and the wound was healed.
Discussion
The RESKIN® silicon dressings were useful and practical in use. However the sacral region
often causes problems with dressings to remain the RESKIN® silicon dressing could easily be
hold on place. The ease of reapplying the dressing was experienced as beneficial. The Nurses
found the dressing easy to apply . The dressing sticked enough on the skin could be
additionally fixated and caused no irritation.
Conclusion
RESKIN® silicon dressings was a cheap, easy in use and non irritating dressing. The dressing
supported wound healing. The patient did not complain of pain during dressing changes.