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Arbor Village
Rehab and Nursing Center
490 S. Old Wire Road
Wildwood , Fl 34785

Mr. Kuhn, a 65 year old thin male, 5 feet, 11 inches tall and 138 pounds.  He was admitted to Arbor Village on April 30, 2011 with a diagnosis of diabetes, paraplegia and contractures.  He has chronic pain with movement and is a two person assist.  Mr Kuhn is wheelchair/bed bound.

Mr. Kuhn presented with a long term sacral decub that developed at home.  It was a Stage 4 and measured 11x 9w x 1.5d cm with exposed bone.  He had an albumin level of 2.4 on a scale of 3.5 – 5.2 and a pre-albumin level of 9 on a scale of 20-40.  Prostat was ordered.

Mr. Kuhn was placed on the Tridien ST 1400 bed on May 15, 2011.  He is very resistant to turning, does not eat well and is very non-compliant.  Despite of all these attributes, Mr.  Kuhn’s wound decreases in size from 11 x 9 x 1.5 d cm with exposed bone and serous exudates and black eschar to 5.8 x 3.5 x 1.0 cm; with 80% of granulation.  However, he was readmitted to the hospital on 10/28/2011 with his wound measurements at 6.0 x 5.0 x 0.8 cm.  Immediately upon return to the bed, his wound began to decrease in size again.  On 11/17/11, his wound measured 4.3 x 3.5 x 1.2 cm.  Mr. Kuhn’s chart continues to report his non-compliance with turning and repositioning.  He continues to want to stay in his wheelchair for long periods of time and refuses his pro-stat.  Arbor Village truly believes that without the Tridien ST 1400 bed, Mr Kuhn’s wound would not have healed to this point.

Mary Alice Lewis RN LHRN
352-748-3322