Have any of you had much experience with this type of ulcer? The Kennedy Termial Ulcer?
I had a patient I admitted a few weeks ago. He was in a LTC facility. This man develped the worst KTU's I have ever seen.
My question is this, Have you ever seen them anywhere other than the coccyx? The reason I ask is, he had area on each heel, that came on within hours, they were purple and looked just like big blood blisters. His entire heels were covered! They looked exactly like the one on his coccyx. I swear they were KT ulcers. Could it be they were?
This is the first time I had seen that term used. I had to do a search on it and read about it here:
After reading about it, I don't see why the theory behind it couldn't apply to heels as well.
In retrospect, I think I have seen quite a few on the coccyx but I can't say I remember any that came on quickly on the heel.
Last edit by aimeee on Jun 8, '08
: Reason: spelling error
Quote from Noey67
Been a Hospice RN 8 years.. never ever heard that term before.. Not here on the west coast anyway.
Interesting the regional differences, I'm in the PacNW & have used the term for years (pre- original post).
I did a bunch of inpatient hospice work over the spring & summer, it's both fascinating and horrifying to watch them develop. This facility used a combination of either Alevyn or DuoDerm to cover them, always much larger than was needed to cover the wounds and never changed unless if fell off. Just cutting off the air to the lesions and providing some padding seem to do a lot to lessen or even relieve the discomfort.
Last edit by kids on Jan 22, '11