Effect of Physical Therapist Management using Pulsed Short-Wave Diathermy for a Stage III Sacral Pressure Ulcer in a patient with Alzheimer’s Dementia: A 4-Week Study in a Skilled Nursing Facility: Case Report.

Аннотация

Background and Purpose Alzheimer's disease (AD) is the most common cause of dementia which results in progressive decline in memory, cognitive and functional abilities of patients. Pressure ulcers are a common complication in patients with AD in skilled nursing facilities (SNF) and contribute significantly to the mortality rate.1, 2 Pulsed short wave diathermy (PSWD) treatment has been shown to promote faster healing of pressure ulcers.12 The purpose of this case report was to examine the effect of PSWD treatment on Stage III sacral pressure ulcer healing and its impact on sitting balance in an 80 year old female with advanced AD residing in an SNF. Case Description The patient was an 80-year-old female with stage 6 AD and a Stage III sacral pressure ulcer. Intervention The patient underwent 16, hour long physical therapy sessions over 4 weeks focused on localized PSWD treatment for wound healing alongside interventions to improve muscle strength, sitting balance, posture, and positioning. Outcomes Patient's sacral ulcer improved to Stage III healed, evidenced by 100% eschar and no slough tissue. Pain The American Journal of Medical Sciences and Pharmaceutical Research 66 https://www.theamericanjournals.com/index.php/tajmspr The American Journal of Medical Sciences and Pharmaceutical Research was effectively managed, with a final Pain Assessment in is focused on slowing disease progression. In addition, a Advanced Dementia (PAINAD) score of 0. The patient's patient's symptoms are managed with pharmacological Braden Scale for Predicting Pressure Sore Risk (BRADEN) (cholinesterase inhibitors and memantine) and/or score improved to 18, indicating reduced risk for skin nonpharmacological agents. breakdown. The patient’s Function in Sitting Test (FIST) Among the various complications associated with AD, score improved to 46/56, indicating improved sitting integumentary integrity issues i.e. pressure ulcers balance. significantly contribute to overall morbidity and