Table 3.
Wound Type | Treatment |
---|---|
All wounds | Aim for optimal nutrition, moisture management, pain control |
Venous ulcers | • Compression bandages for healing |
• Stockings for healing and to prevent recurrence | |
• High compression in absence of arterial disease (ankle-brachial pressure index [ABPI] >0.9 or audible multiphasic signal with handheld Doppler) | |
• Modified compression with mixed venous/arterial disease (ABPI 0.6–0.9) | |
Pressure injuries | • Redistribute pressure over bony prominences and areas under pressure |
• Reduce shear forces | |
• Optimize physical activity and mobility | |
• Manage incontinence and moisture | |
Diabetic foot ulcers | V = vascular: confirm adequate vascular supply |
I = infection: control superficial critical colonization/deep and surrounding infection | |
P = pressure: redistribute plantar/dorsal foot pressure (neuropathy) | |
S = sharp: surgical serial debridement |
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