11/20/2025
This is an 84 year old female who had a large pressure ulcer on her left heel for five months prior to being referred to The Wound Ostomy Care Clinic. She had been seen by other providers including surgery and wound clinics with little improvement. Our primary focus initially was preventing further injury and cleaning the wound up. This consisted of proper cleaning and dressing choice, debridement and off-loading the heel. Proper antimicrobial coverage both topically and by mouth was also ordered. With this the wound slowly improved. By August we began focusing on closure of the wound. Along with the treatments listed above we began specialty dressings. As with all chronic wounds we also addressed her nutrition issues. These steps along with the assistance of her awesome home health led to a steady improvement in the wounds. By the end of October the wound was closed and she was able to be discharged from our clinic in November.
Just a reminder that at The Wound Ostomy Care Clinic we recognize that not all wounds are the same. You cannot go by a certain algorithm to treat every wound. There are too many differing variables with each patient.