Essential Insights On Treating Pressure Ulcers

Start Page: 32
Clinical Editor: Kazu Suzuki, DPM, CWS

   For some patients who are unlikely to walk — even around the house — Dr. Armstrong suggests asking yourself, “What are our goals?” He notes that “a decided minority” of patients are better off not with an expensive therapy but often just with what he refers to as “wound hospice.” Additionally, he notes some patients may benefit from an amputation earlier rather than later.

   “Much of this depends not on the surgeon and not on the technology,” emphasizes Dr. Armstrong. “It depends on listening to the patient.”

   Dr. Armstrong is a Professor of Surgery and the Director of the Southern Arizona Limb Salvage Alliance (SALSA) at the University of Arizona College of Medicine in Tucson, Ariz.

   Dr. Sage is a Professor and the Chief of the Section of Podiatry at the Department of Orthopaedic Surgery and Rehabilitation at the Loyola University Stritch School of Medicine in Maywood, Ill.

   Dr. Suzuki is the Medical Director of the Tower Wound Care Center at the Cedars-Sinai Medical Towers. He is also on the medical staff of the Cedars-Sinai Medical Center in Los Angeles and is a Visiting Professor at the Tokyo Medical and Dental University in Tokyo. He can be reached via email at .

1. National Pressure Ulcer Advisory Panel Guidelines, 2009. Available at

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