Journal of Community Nursing - page 56

56 JCN
2013,Vol 27, No 4
WOUND CARE
Figure 5.
Bar chart showing change in heel
LEP:TP ratio over 28-day period in
patient MF.
Figure 6.
(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 7.
(From left to right) a. Normal uninjured skin (left heel); b. injured skin (left heel), day 0; c. injured skin (left heel) not treated with
a pad, day 28.
Normal
Aderma
Kerrapro
Time 0
4 weeks
0.0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
than the left heel (
Figure 5
). Despite
this, after four weeks of treatment
the LEP:TP ratio had returned to
that of the normal tissue, while the
left heel moved towards the normal
state at a slower rate.
Patient 2: SH
Patient SH had a large degree of
oedema present at day 0 on the
right heel (red pixels)(
Figure 6b
),
which returned to a normal state
following four weeks of treatment
with KerraPro (
Figure 6c
). As dictated
by the protocol, the control (left) heel
was left unpadded and continued with
the standard treatment regimen of
repositioning. Over time, a reduction
of oedema was seen, but not as
dramatically as with the treatment
heel (
Figure 7
). These findings are
supported by the LEP: TP ratio (
Figure
8
), which showed a return to normal
with KerraPro treatment over four
weeks, while the left heel remained
oedematous and did not show much
improvement from the start to the end
of the evaluation.
Patient 3: BN
Patient BN had an elevated number
of red pixels at day 0, indicating
the presence of oedema (
Figure
9b
). After four weeks of treatment
with KerraPro, the skin condition
was uninjured (
Figure 9c
). These
findings were the same on the
left heel which was also managed
using KerraPro Heel (
Figures 10b, c
).
LEP:TP ratios (
Figure 11
) revealed
that oedema was worse in the right
heel at day 0. However, by the end
of the evaluation, both heels had
returned to a normal tissue state.
Patient 4: DH
Patient DH had an elevated number
of red pixels at day 0, indicating the
presence of oedema (
Figure 12b
).
After four weeks of treatment with
KerraPro Heel, the skin condition
had returned to an uninjured state
(
Figure 12c
). These findings were the
same on the left heel also treated
with KerraPro Heel (
Figure 13b, c
).
LEP:TP ratios (
Figure 14
) revealed
that oedema was worse in the right
heel at day 0, but by the end of the
evaluation both heels had returned
to a ratio beneath the normal tissue
state, indicating the presence of sub-
clinical oedema beyond the heel site
at the start of the evaluation.
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