Three Patient Case Studies

Patient 1

Allevyn Clinical Evidence Case study 1 pressure ulcer grade 3 Allevyn Clinical Evidence Case study 1 condition afer six weeks Allevyn Clinical Evidence Case study 1 application of Allevyn Adhesive scrum Allevyn Clinical Evidence Case study 1 application of Allevyn Adhesive scrum after three days
A sacral pressure
ulcer grade 3		   The same wound
after six weeks		   ALLEVYN◊ Plus
Adhesive sacrum
newly applied		   ALLEVYN◊ plus
adhesive Sacrum
after 3 days wear

Patient 2

Allevyn_Clinical Evidence_Patient2

Allevyn_Clinical Evidence_Patient2

Allevyn_Clinical Evidence_Patient2

Excoriation and pressure damage grade 2   Dressing still in
place after 5 days		   Wound healing
after 15 days

Patient 3

Allevyn_Clinical Evidence_Patient3

Allevyn_Clinical Evidence_Patient3 

Allevyn_Clinical Evidence_Patient3 

90 year old lady with a large necrotic pressure ulcer grade 4(Stirling), caused by sudden immobility   The same wound after 7 weeks of ALLEVYN◊ Plus Adhesive Sacrum
   ALLEVYN◊ Plus Adhesive Sacrum applied. This wound is now completely healed

Aim of the study

  • The aim of the study was to investigate the potential use and appropriateness of ALLEVYN◊ Plus Sacrum in sacral pressure ulcers, particularly in absorbency and remaining in place during wear time.

Materials and methods

  • The study reviewed 20 patients (all gave full informed consent) with pressure ulcers with each patient being visited weekly over a 6-week period.
  • The measurements were both qualitative and quantitative with assessments based on TIME^ framework and the continuum of wound healing.
  • The quantitative planimetry measurements were taken and VISITRAK◊ (A portable digital device that provides accurate, reproducible data for tracking wound progress) provided the wound surface measurements and photographs confirm the changes in colour and size of the wound.
  • Qualitative measurements investigated comfort, absorbency, adhesion, ease of removal and durability.
    The nurses were asked to comment on ease of application, wear-time, absorbency and ease of removal of trial dressing.
  • The ALLEVYN◊ Plus Sacrum was left in situ until strike through was apparent and was changed by the patient’s primary nurse.

Results

  • Each of the wounds improved according to the TIME framework
  • Each wound moved through the wound continuum towards granulation
  • One wound healed during the evaluation

Conclusion

  • On no occasion was the dressing dislodged from the wound
  • Extremely effective in absorbing wound fluid
  • The dressing was easily applied and easily removed without damaging the friable skin
  • Wear time ranged from daily (when faecal incontinence was a problem) to 4/5 days
  • There were signs of healing in all wounds in the case studies with complete healing occurring in one patient

^ TIME is courtesy of the International Advisory Board on Wound Bed Preparation
Schultz GS, Sibbald RG, Falanga V et al (2003) Wound Rep Reg; 11:1-28