Pressure Sore Decubitus Ulcer

Case Study: Treating Pressure Sores with coMra Therapy

Garrett Murrin presents a clinical report regarding the treatment of pressure sores in an 86-year-old female resident of a seniors' care home. The patient has suffered from dementia for over ten years and has been in residential care for more than eight years. For the past four years, she has been non-communicative and unable to walk. Due to a severe lack of nutrition, hydration, and physical movement, the patient has been unable to consume solid foods or liquids for over two years, requiring a diet of pureed food and thickened liquids to prevent choking. Despite her fragile condition, the attending physician noted that her longevity has been remarkable.

In 2013, following a bout of influenza accompanied by severe diarrhea, the patient developed pressure sores on her left ankle and right buttock. Initially, the attending wound nurse prohibited the family from using their personal Delta 980 laser device, citing care home policy and safety concerns. However, after the nurse retired, the family reached out to Garrett Murrin to initiate palliative measures.

Treatment Methodology and Progress

Garrett Murrin noted his initial hesitation, given the patient’s severe state of deterioration. Nevertheless, he proceeded with a treatment plan using the Delta 905 medical terminal. To maintain hygiene, the terminal was wrapped in clear plastic, cleaned with isopropyl alcohol, and treated with colloidal silver.

The treatment protocol for the left ankle was as follows: * Perimeter: One minute per point at four points around the wound at variable frequency. * Center: Five minutes directly over the center of the wound at 1000 Hz. * Secondary site: Two minutes at 1000 Hz on a developing spot near the wound. * Surrounding area: Five minutes scanning the side and top of the foot at 1000 Hz.

This protocol was performed once per week. Additionally, the family utilized their personal Delta 980 terminal once per week, applying it directly over the center of the wound for five minutes, either with or without the dressing, depending on the day.

Clinical Observations

Photographic evidence from June 26, 2013, through December 28, 2014, documented the deterioration of the left ankle prior to the start of coMra therapy. Following just one week of treatment – consisting of one session with the Delta 905 and one with the Delta 980 – granulation began to appear around the edges of the wound, signaling the onset of the healing process.

By February 8, after six sessions with each device, the inner yellow ring of the wound had disappeared, and the wound size had significantly decreased with healthy granulation. While the process experienced occasional setbacks due to external factors – such as whether the patient was turned correctly during the night – the ankle showed consistent improvement.

Future Outlook

Garrett Murrin intends to continue the treatment protocol for the duration of the patient’s care. Should the treatment of the left ankle continue to be successful, the care home has agreed to cooperate in addressing the pressure sores on the patient’s buttocks, which were documented on June 23, 2013. Because of the specific type of dressing required for the buttocks, future treatments will be coordinated with the wound nurse to coincide with dressing changes. Further updates will be provided as the case progresses.