Summary
A 90-year-old patient with a venous leg ulcer poorly tolerated compression therapy due to her wound pain. After Accel-Heal was started, graduated high compression was successful and the wound made progress to healing.
Before Accel-Heal
The patient had a diagnosis of dementia. Limb assessment demonstrated venous incompetence, with ankle-brachial pressure index within normal limits. Compression therapy was therefore indicated but had been poorly tolerated due to her pain levels.
The wound measured approximately 24.75 cm2 . She was prescribed twice-weekly dressings with honey and graduated high compression bandages. Her pain score was 5/10.
During treatment with Accel-Heal
Therapy with Accel-Heal started in November and continued for 12 days, along-side standard care with graduated high compression therapy and primary dressings as per local protocol.
Figure 1 medial left malleolus on 17/02/13 at the start of Accel-Heal
Figure 2. Wound to left tibial crest at week 5 on 08/12/17
Figure 3. Wound to left tibial crest healed atweek 12
Results
Two weeks after commencing therapy with Accel-Heal, the wound had halved in size to approximately 10.25 cm2 . Exudate significantly reduced and the patient now only needed weekly dressing changes.
The wound pain score had reduced to 1/10. At week eight, the wound measured approximately 0.5 cm2 with no pain and the wound had completely healed within 12 weeks