Wednesday, June 25, 2014

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Training for residences ASI ME SEE BY IMPROPER FOOTWEAR AND MY POOR PERIPHERAL CIRCULATION
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INTRODUCTION vascular lesions etiology, currently represent between 70-80% of all ulcers in the lower extremity. In describing the present case, we will develop toilet repair the evolution of an injury caused by improper footwear a user with chronic peripheral toilet repair venous insufficiency.
PATIENT Male 89 years old admitted to Nursing Home with a history of Central and chronic peripheral circulatory failure, repeat IRA, Parkinson box and loss of balance, anxiety-stirring night, functional incontinence, intestinal diverticula, nephrectomy, wheelchair user Wheel, and treatment with gastric, antiparkinson and for acute and chronic circulatory disorders metabolicovasculares protector.
CHRONOLOGY OF INJURY / METHOD AND MATERIALS In the lower right side face of the inner third, we see sizable flictena is monitored and debrided. Pedis and posterior toilet repair tibial pulse filiform. No signs of DVT. After debridement takes dimensions 5 * 5 cm, irregular edges and erythematous and fragile surrounding skin. Abundant exudate and granulation tissue bed 100%. In the first treatment is applied to the skin barrier product with zinc oxide, in perilesional skin and bed calcium alginate. As secondary dressing one hydrocellular soft gel adhesive dressing and pressure bandage is used to improve patient circulación.El the dressing is removed on many occasions because I do not tolerate and stir. That is why you opt for simply retaining bandage dressing.
In the lower left side face of the inner third, has not bleach intense erythema divided into two islands. Monitored lesions, dimensions: 3 * most distal and most proximal 5cm 2.5 * 2.5cm. Is applied hyperoxygenated fatty acids (AGHO) and hydrocellular soft gel adhesive dressing. After 5 days of treatment, the right leg has epithelialized and AGHO remain. The right lower limb, clinical signs of infection, devitalized tissue by 95% and perilesional area is erythematous. Shear and enzymatic debridement with collagenase pattern. In the perilesional area zinc oxide is applied as a secondary dressing and an adhesive hydrocellular soft gel. During treatment the patient undergoes two processes in acute respiratory failure, which will lead to a worsening of the lesions. The pattern of cures is amended within two months of evolution, reinfection. Nanocrystalline silver dressing, hydrogel dressing hydrocellular soft gel adhesive pattern. The cures are performed every 72 hours. When they disappear clinical signs of infection and scarring resumes, toilet repair we apply the nanocrystalline avocado to start healing with collagen powder to accelerate epithelialization. Complete healing of the lesion of the left lower limb, occurs within 6 months of starting treatment. RESULTS healing has been achieved by controlling toilet repair healing those barriers that have emerged, such as the presence of devitalized tissue, infection or inadequate management of exudate. toilet repair CONCLUSIONS good

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