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Diabetic Foot Files

When Skin Sends SOS: Understanding the Kennedy Terminal Ulcer

21 min28 januari 2026

This episode explains the Kennedy terminal ulcer: a sudden, rapidly progressing sacral wound often seen near end of life, and how it overlaps with pressure injury and skin failure concepts.

Dr. G discusses the underlying physiology (perfusion collapse, inflammation, microthrombi), the role diabetes plays in lowering tissue reserve, clinical recognition, management focused on comfort and dignity, and the importance of clear documentation and family communication.

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