Kennedy Terminal Ulcer

Definition

(Noun) An area of skin breakdown usually seen on the sacrum. Shaped like a butterfly or pear. This phenomenon has a quick onset and rapid progression. In a matter of hours they can appear. In as little as 8 hours they can have advanced to the size of an adult's hand. They are seen near the end of life, typically in elderly populations. While they resemble a decubitus (pressure ulcer), they are not. They are initially dark red, purple with skin still intact and are frequently, mistakenly, documented as a pressure ulcer (suspect deep tissue injury). While they can advance to an open sore, as far as having the characteristics of a stage IV, most do not as the pt. passes prior. Treatment is the same as for a true decubitus.