Say, hypothetically you have all the money in the world at your disposal.:chuckle
Patient is 90 yr old NIDDM patient with dementia and constant oozing of stool. Her status is palliative, and decision has been made to do no aggressive forms of treatment. Diet is tollerated very well, but is limited because of NIDDM status, swallowing difficulties and various other feeding complications. Has indwelling cathether and is bedbound with multiple contractures of the legs. Stage IV ulcer to coccyx has been present since 1999 (!). Multiple products have been used over the years, multiple clinical nurse speciallists and infection control specialist have been consulted. Pt had been on VAC therapy for 6 mo, but this lead to a deepening of the wound bed, and was d/c'd in 2001.
