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- Kemmyo Sugiyama, Toru Tsuboya, Seitaro Nakagawa, Toshihiro Kikuchi, and Yusuke Tanoue.
- Yamato Home Clinic Ichinoseki, Japan.
- Intern. Med. 2024 Nov 1; 63 (21): 299529992995-2999.
AbstractHome healthcare is important for allowing patients to live their lives. However, home-care bedridden patients often experience pressure ulcers in the lower extremities, which can lead to life-threatening infections requiring decisions on the need for amputation. We herein report a patient with an infected lower-limb pressure ulcer with a history of spinal injury. The patient, his family, and the home-care physician repeatedly shared decision-making to deliver home-based treatment instead of amputation. Administration of wound dressing, AQUACEL® Ag, led to complete epithelialization. Such shared decision-making and dressing were feasible in a home-care setting and broadened its scope.
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