Medical Sheepskin Healing Diabetic Patient’s Wound
Timeline 2008….. April 7th: Pictures and OT consult. April 10th : Surgical Wound Debridement April-June: Wound appeared larger according to documentation. June: Commencement of Sheepskin Protocol initiated by Dr. order.
April 07, 2008
Wound Mechanically Debrided Prior to Sheepskin Use. June 12, 2008
Protocol Coccyx pad over wound (kling) Sheepskin boot Foam offloading boots in bed Posey offloading boot in day Dressing changed once daily Removed with normal saline
Note: Necrotic tissue formation on upper left of wound and blood flow in central area. June 19th, 2008
Note: From June 19 to July 31 wound has self-debrided. July 31st, 2008
Note: Massive granulation and redness of wound; demonstrating BLOOD FLOW Aug 28, 2008
Note: Bruising around the wound due to adhesives from hydrocolloids. Sept 25, 2008
Note: Extensive damage from adhesive. October 23, 2008
Note: Adhesives no longer used Sheepskin Standard in place. May 12, 2009
Comparison…. June, 2008 May, 2009
Sheepskin coccyx pad discontinued. Sheepskin boots being donned bilaterally for protection.
Note: Complete regeneration has occurred Note: Complete regeneration has occurred. Savings in surgery, physio and prosthesis are approximately $250,000. April 16, 2009