Case Study: Pressure Sore Decubitus Ulcer

Patient Profile

• 86-year-old female
• 10+ years of dementia
• In senior’s care home for 8+ years
• Non-communicative for 4+ years
• Unable to walk
• Severe lack of nutrition, hydration, and exercise
• Unable to eat solid foods or drink liquids for 2+ years
• All food pureed and liquids thickened to prevent choking

Medical Background

• Physician’s note: Unusually long survival given condition
• Developed pressure sores on left ankle in 2013 following flu with severe diarrhea

Initial Treatment Obstacles

• Wound nurse forbade family from using personal 980 nm Delta device
• Nurse claimed it was dangerous and against care home policy

coMra Treatment Protocol

Initial Approach

• Treatment started on December 28, 2014
• Device: 905 nm medical terminal
• Application:
• Covered in clear plastic wrap
• Cleaned with isopropyl alcohol
• Frequency: Once per week
• Duration: 5 minutes
• Location: Directly over or around wound center
• Note: Sometimes applied with dressing on, sometimes off

Additional Treatment

• 980 nm Delta terminal also used once per week

Treatment Progress

After One Week

• One treatment each with 905 nm and 980 nm
• Granulation beginning around wound edges

February 8 (After 6 Weeks)

• Six treatments each with 905 nm and 980 nm
• Significant improvements:
• Bottom inside yellow ring disappeared
• Wound size reduced
• Increased granulation
• Wound becoming more planar

Challenges

• Variability in patient turning
• Coordination with wound nurse for treatments during dressing changes

Next Steps

• Continued treatment
• Ongoing updates on progress

Conclusion

Despite initial skepticism due to the patient’s poor condition, coMra therapy shows promising results in treating pressure sores in this severe dementia case.