Journal of Community Nursing - page 54

54 JCN
2013,Vol 27, No 4
WOUND CARE
oedema present in damaged tissue
to be measured (Gniadecka, 1996;
Gniadecka and Quistorff, 1996).
The Episcan scanner (Longport
International Ltd, Reading)
operating at a frequency of 15MHz
gave an axial resolution of 65um.
RESULTS
This article presents the interim
results for the first cohort of
patients completing the four-week
evaluation (n=5). At baseline,
ultrasound scans of all heels
with category 1 pressure damage
revealed the presence of oedema,
seen as a large amount of red
pixellation, compared with the
large amount of blue pixellation
observed in the normal skin control
scans. After four weeks of treatment
with KerraPro Heel, the damaged
heels of all five patients showed
improvement and a return to a near
normal tissue state.
Patient 1: MF
For patient MF, the injured tissue
on the right heel on day 0 revealed
a large number of red pixels on
scanning, indicating the presence of
oedema (
Figure 3b
). After four weeks
of treatment with KerraPro, the skin
had returned to normal (
Figure 3c
).
These findings were also observed
on the left heel (
Figures 4b,c
) that
was protected using Aderma dermal
pads (Smith & Nephew, Hull), but
were not as pronounced as on the
right. LEP:TP ratios revealed that
on day 0 the injury to the right,
treatment heel (KerraPro) was worse
Figure 2.
A scan of normal skin (l) with adjacent histology section (c) indicating the
corresponding skin layers (r).
Figure 3.
(From left to right) a. Normal uninjured skin (right heel); b. injured skin (right heel) day 0; c. injured skin (right heel) treated with
KerraPro Heel, day 28.
Figure 4.
(From left to right) Normal uninjured skin (left heel); injured skin (left heel), day 0; injured skin (left heel) treated with Aderma, day 28.
Epidermis
surface layers that are
keratinized
Dermis
dense fibro-elastic
connective tissue
containing glands and
hair
Hypodermis
loose connective tissue
consisting largely of
adipose tissue
Skin: layers
1...,44,45,46,47,48,49,50,51,52,53 55,56,57,58,59,60,61,62,63,64,...116