For the patient above, the wound is now 80% granular with mi…

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? 

You have evaluated a patient with a right medial lower extre…

You have evaluated a patient with a right medial lower extremity wound today. The wound bed is 80% granular, 20% yellow slough. There is moderate wound odor, and copious blue-green drainage on the dressings. The border is irregular and macerated.  The periwound is moderately edematous, with moderate distal hemosiderin deposition.  The patient states that his leg swells up throughout the day and weeps into his sock and shoe. You diagnose the underlying etiology as venous insufficiency and this is confirmed by the vascular surgeon, having tested the patient with a venous duplex scan with poor results, and a normal ABI bilaterally.  What form of debridement would you do/recommend?

A patient presents to your clinic with a wound that is prope…

A patient presents to your clinic with a wound that is properly dressed, but you notice the dressing is heavily saturated with fluid and the patient has not changed it for the past 4 days.  Clean technique dictates that after removing their dressing you should: