Portrait of Practice: Healing Heel Ulcers

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Two treatments for heel pressure ulcers —a dressing foot wrap and a laminated foam boot (Lunax, BI0-S0NICS)—were compared for effectiveness in a sample of 25 Intensive Care Unit patients at a community teaching hospital. At the first sign of heel redness, 11 patients were assigned to receive a dressing foot wrap, and 14 were assigned to wear a laminated foam boot on their heels. Subjects heel breakdowns were monitored every three days until one of the following conditions occurred: break of a blister, discharge from hospital, or death. None of the subjects receiving the dressing foot wrap showed improvement, whereas all but one of the subjects using the boot showed improvement.

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