HydroTherapy wound healing of a category 2 pressure ulcer to the heel
Diane Knowles1, Lisa Wright1 & Elaine Ricci2
Introduction: HydroTherapy consists of Hydro-Responsive Wound Dressings HydroClean® plus and HydroTac®. HydroClean® plus is based upon a chemically inert superabsorbent polyacrylate material which is “activated” with Ringer’s solution. The Ringer’s solution is made available to the wound bed and fibrinous slough coatings and necrotic tissue are softened and detached. Simultaneously, the wound dressing pad absorbs bacteria- and proteinase-laden wound exudate into its absorbent core and binds it away from the wound surface. HydroTac® is a Hydro-Responsive Wound Dressing that in conjunction with AquaClear gel technology which provides a combination of absorption and moisture donation to help keep wounds in a balanced, moist environment to optimize healing efficiency.
Wound history: This case study relates to a 60 year old man with type 2 diabetes and neuropathy who underwent a recent amputation of the left 1st and 2nd digits. A category 2 pressure ulcer developed as a result of incorrectly applied aircast used as a part of the treatment regimen. The wound (2.5 x 2.5 cm) (Figure 1), positioned on the left retro-calcaneal originally presented with 100% slough, low exudate levels and macerated peri-wound, a pain scale 0 with no signs or symptoms of clinical infection. The wound was treated with both HydroClean® plus to debride and de-slough and HydroTac® to facilitate healing progression.
Treatment with HydroTherapy: HydroClean® plus was applied with Hypafix to secure and a secondary dressing pad as a secondary dressing (on 22.6.16), and the wound was offloaded with a trauma sandal and wheelchair with leg elevator. From the initial visit the wound reduced rapidly in size to 1.0 x 1.0 cm (on 13.7.16) (Figure 2). At this point the dressing regimen was changed to HydroTac® (10 x 10 cm) which resulted in an increase in epithelialisation of up to 50% of the wound area and a reduction in wound size to 0.5 x 0.5 cm. (Figure 3) The wound healing was accomplished on 26.7.16 (Figure 4). There was low exudate levels, healthy surrounding tissue and the patient was pain free.
Conclusion: The combination of using both HydroClean® plus and HydroTac® (HydroTherapy) was useful to debride the wound and promote healing for this pressure ulcer.
The patient, his family and clinical team were happy at the progress of healing (the wound had healed at 35 days).