Phillis is a 92-year-old lady with end-stage Alzheimer’s disease. She lives in a care home and is cared for in bed. Phillis has developed grade 3 pressure ulcers in the crease of her arms and forearms due to very tight contractures.
The nurses are treating the ulcers and dressing them regularly, however, due to the pressure, heat, and moisture, the wounds are not healing. Phillis also has increased tone in her hands, causing her fingers to flex and contract into a fist. The care team is unable to open her hands out and the pressure from her fingers and nails are causing wounds on the palms of her hands.
Phillis was prescribed flat and dimensional gel, which was positioned underneath her forearms and in-between the creases of her arms. She was also prescribed custom-made gel hand rolls to put between her fingers and palm to encourage opening her hands for hygiene and to protect her skin. The following gel products were prescribed to improve her comfort, protect her skin and assist with the healing of her pressure ulcers: