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Preparation
- Cleanse the wound using non-irritating cleansers such as potable water, normal saline or wound cleansers.
- Debride the wound of non-viable tissue, including peri-ulcer calluses
- Remove slough, necrotic tissue and surrounding callus of the diabtetic foot ulcer. Considerations should be made for pain or severe ischemia when debriding diabetic foot ulcers.
Learn more about the importance of wound preparation and debridement using Alprep Pad here.
Treatment - To manage exudate, always choose a dressing that fills in the gap between the wound bed and dressing.
Wound assessment and prepartion leads to identification of objectives. We should aim to support an optimum healing environment for the wound.
Consider the following treatment objectives, relating to the management / prevention of...
Exudate or exudate pooling, Maceration or excoriation, Protection of the peri-wound skin, depth or cavity to the wound, Infection.
- Make sure the dressing protects the periwound skin, and will be atraumatic upon removal
- The dressing should also be able to manage the moisture of intact skin - dry skin, MASD as well as faecal and urinary incontinence are significant risk factors often associated with pressure injury occurence and re-occurence.