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Wound with hypergranulation
89+ yo female referred to homecare for wound care of BLE "stasis ulcers", which have been slowly worsening for years, pics are of right leg which is 4x4cm, matching one on left leg 2x2cm. Patient won't leave the home d/t agoraphobia and has self treated with multiple 'natural' tx's. Has visiting physician's, hx of a-fib and back pain. Patient is not concerned with healing lesions and there is no local visiting wound clinic or dermatologist to bx. Likely dx and treatment suggestions? I'll share my current and previous approaches in a few days.