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NUTRITIONAL RECOVERY FROM PRESSURE ULCERS: A CASE REPORT
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Abstract
Pressure ulcers are areas of necrosis and ulceration where soft tissues are compressed between a bony protrusion and a hard outer surface. They are caused by uncompensated mechanical pressure combined with friction, shear forces, and moisture. Risk factors for pressure ulcers include age over 65, reduced tissue circulation and perfusion, malnutrition, decreased sensation, and incontinence. Severity ranges from pale erythema to full-thickness necrosis.
We report a case of successful treatment of pressure ulcers in the buttocks of a critically ill patient with a diagnosis of abdominal aortic aneurysm below the renal artery, with abdominal aortic graft stenting, mild heart failure with reduced EF, chronic coronary artery disease, left hemispheric cerebral infarction, hypertension, acute renal failure, bilateral synovitis of the knee, bilateral osteoarthritis of the knee, spinal degeneration, Alzheimer's disease requiring mechanical ventilation, and bilateral buttock ulcers with multiple stage III lesions. The right buttock had necrotic tissue and a deep, wide cavity approximately 10x5cm, while the left buttock had a deep, wide cavity approximately 10.5x6cm, with numerous pseudomembranous tissues within the cavity, treated with enteral, intravenous, and oral nutrition after 43 days.
Keywords
Pressure ulcer, clinical nutrition, recovery, elderly.
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References
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