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You evaluate a patient in January for a wound on her leg. The wound is located anteriorly on the distal half of her leg.  It is 2.3 x 2.4 x 1.7 cms.  It is comprised of 70% yellow slough, and 30% pink granulation that is thin and flat.  The wound is dry and has little drainage on the dressing.  What etiology is most likely based on this information?

This patient is ventilated and sedated in the ICU currently, you are asked to consult and evaluate this pressure ulcer.  How do you document the stages of this wound correctly?

When evaluating a wound, the clinician is able to slide a cotton tip applicator beneath the wound edge measuring 1.8 cms from 12-3:00 position.  This area should be documented as:

What dressing plan is most appropriate for the patient in the question above?

What are the benefits of pressure mapping patients with pelvic wounds?

For the above right heel pressure injury.  Which is the most important treatment intervention you can provide? 

Which patient is most appropriate for total contact casting? 

Which dressing/product can be used for autolytic debridement (i.e. the body’s natural healing process to remove dead tissue from a wound)?

For the patient above, the wound is now 80% granular with minimal drainage and patient denies pain or elevated blood sugars.  At this juncture in treatment, what intervention will allow the patient to heal the fastest as it addresses the most critical underlying cause for their wound? 

For the same patient, which intervention would be the most appropriate today?