Protocols for Treating a Chronic Wound

Welcome to your Protocols for Treating a Chronic Wound

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What is the first step in wound care protocol when treating a chronic wound?

Apply an occlusive dressing

Cleanse the wound with antiseptic solution

Assess the wound and the patient’s overall condition

Begin systemic antibiotic therapy

What is the primary purpose of wound debridement?

Dry out the wound bed

Stimulate angiogenesis

Remove dead or infected tissue to promote healing

Prevent scarring and keloid formation

Which of the following dressings is most appropriate for a heavily exuding wound?

Hydrocolloid dressing

Foam dressing

Transparent film dressing

Gauze dressing

When should systemic antibiotics be prescribed for a chronic wound?

In all chronic wounds to prevent infection

Only if there are clinical signs of infection or confirmed bacterial involvement

When the wound shows no signs of improvement after 48 hours

For every diabetic foot ulcer

Which wound bed color indicates the need for debridement?

Pink

Yellow or Black

Red and Granulating

White

Outline the TIME framework for managing chronic wounds.

Describe the difference between autolytic and enzymatic debridement.

What role does moisture balance play in wound healing?

Explain how compression therapy supports healing in venous ulcers.

Why is wound culture important, and when should it be performed?

Case 1 Scenario: A 60-year-old patient with diabetes presents with a chronic ulcer on the heel. The wound has yellow slough covering the bed, and there is moderate exudate. No signs of systemic infection are present, but the patient reports occasional pain. Tasks: Outline the steps you would follow to treat this wound. What type of debridement would you recommend, and why? How would you manage pain and exudate?

Case 2 Scenario: A 68-year-old patient with chronic venous insufficiency presents with a shallow ulcer on the medial ankle. The surrounding skin shows hemosiderin staining, and the wound bed is pink and moist with minimal exudate. Tasks: What protocol would you follow to treat this wound? What type of dressing is most appropriate? How would you prevent ulcer recurrence?

Protocols for Treating a Chronic Wound

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