1. Medical Sheepskin Healing Diabetic Patient’s Wound

2. 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.

3. April 07, 2008

4. Wound Mechanically Debrided Prior to Sheepskin Use.
June 12, 2008

5. 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

6. Note: Necrotic tissue formation on upper left of wound and blood flow in central area.
June 19th, 2008

7. Note: From June 19 to July 31 wound has self-debrided.
July 31st, 2008

8. Note: Massive granulation and redness of wound; demonstrating
BLOOD FLOW
Aug 28, 2008

9. Note: Bruising around the wound due to adhesives from hydrocolloids.
Sept 25, 2008

10. Note: Extensive damage from adhesive.
October 23, 2008

11. Note: Adhesives no longer used Sheepskin Standard in place.
May 12, 2009

12. Comparison….
June, May, 2009

13. Sheepskin coccyx pad discontinued. Sheepskin boots being donned
bilaterally for protection.

14. Note: Complete regeneration has occurred
Note: Complete regeneration has occurred. Savings in surgery, physio and prosthesis are approximately $250,000.
April 16, 2009