Statement of Problem: Provide optimal standard of care based on best practice to improve patient outcomes and promote healing by removing necrotic tissue, addressing infection, reduce bioburden, social and emotional problems.

Rationale: Co morbidities such as CHF, chronic kidney disease with renal failure, nutritional, social and emotional issues to name a few are things that can significantly change the outcomes of a patient.

We will present an older male with foul smell, necrotic, infected, full leg chronic venous status ulcer. The history is suggestive for smoking and recreational substances as well as living surroundings not conducive to healthy living. While these ulcers are severely infected, the patient presented to the facility for fever, chills, difficulty breathing, chest pain, and inability to move opposite leg.

Methodology: Patient admitted with pneumonia, hypoxia, acute renal failure, hyperkalemia, dislocated left hip, sepsis and full thickness, foul smelling, infected venous status ulcer. Movement of either leg created severe pain. Wound treatment modality necessitated treatment to be easy for the patient to tolerate and have less frequent dressing changes.

We will demonstrate with this case the progression towards healing by utilizing an advanced wound care product to aid in reduction of bioburden, reduce risk of reinfection, absorb exudate while hydrating wound and provide a pain-free dressing change for the patient.

Results: Able to maintain an infection free wound, reduce bioburden, reduce ulcer size, promote granulation tissue, improve nutritional status and decrease patient's wound pain during dressing change and between dressing changes.