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Statement of Clinical Problem
Patients presenting with venous insufficiency and subsequent ulcerations of the lower extremities require life-long health care management. Studies show that 45% of patients of these ulcers recur within five years (Bryant & Nix, 2006) and represent 70%-90% of chronic wounds (Baranoski & Ayello, 2004). These chronic wounds are a financial, physical, and psychological burden for the patient (Baranoski & Ayello, 2004). Typically this patient population receives care from both wound healing centers and home care with a variety of treatments.
Compression therapy is considered the cornerstone for treatment of venous ulcers (Bryant & Nix, 2006). It generally requires weekly changes, but in patients with copious drainage more frequent changes are required. Past Management
These three patients had previously used compression therapy combined with hydrocolloids, other absorptive products, or no underlying topical dressing. One patient had treatment delayed due to copious drainage that needed to be brought under control before compression could begin. Maceration of peri-wound skin was an issue with all three of these patients. This was not acceptable.Current Clinical Approach
We used a product that incorporates Active Fluid Management™ technology with a highly absorptive foam and a waterproof, breathable, bacterial barrier film. The high rate of absorption combined with the active fluid pumping was effective even under compression. It allowed us to decrease dressing changes to once weekly as well as maintain periwound integrity. Patient Outcomes
Three patients were studied using Active Fluid Management™ dressings under compression therapy with positive results for the patient and health care provider. Conclusion
This product in combination with compression therapy was an efficient and effective treatment of these highly draining venous ulcers.