Treatment of Pyoderma Gangrenosum
Transcript of Treatment of Pyoderma Gangrenosum
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CASE STUDY
Treatment of Pyoderma Gangrenosum
Jackie ClemitSalts Community Stoma Care Nurse
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CASE STUDY
Patient •Female-80 yrs
•Stoma formed 3 years ago for inflammatory bowel disease.
•Surgery performed in Scotland
•2008 diagnosed and treated for Pyoderma.
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CASE STUDY
Diagnosis and treatment•Request for a community visit due to painful stoma
•Visited same day
•Pyoderma Gangrenosum identified
•Haelan tape suggested as first treatment.
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CASE STUDY
Treatment continued•Haelan tape applied to ulcerated area.
•Large Secuplast mouldable seal applied to full surface area, adhered to wet skin
•Pouch applied
•Secuplast flange extensions applied to outer area.
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CASE STUDY
Treatment Continued•District nurse contacted to continue dressings x 2 weekly.
•One week later there was only a slight improvement
•GP contacted
•Tacrolimus 0.3% in orabase paste, prescribed
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CASE STUDY
Treatment Continued•Revisited the following week ointment applied
•Care plan given to district nurse
•Follow up visit one week later
•After 1 week of treatment
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CASE STUDY
•District nurse redressed every other day.
•Ulceration was healed one week later
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CASE STUDY
Results•Continued use of Secuplast mouldable due to comfort
•Ointment kept as a standby
•Ulcer completely healed
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CASE STUDY
Fully Healed in 3 weeks
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