A patient presents with this unstageable pressure injury to the posterior aspect of the heel.  Please select the best immediate treatment plan.  

You are asked to evaluate a patient with a vertical abdominal wound after having a hemicolectomy for colon cancer. The surgery was 12 days ago.  The wound measures 15.0 x 2.5 x 5.6 cms.  The wound is 80% yellow slough and 20% granular.  There is minimal odor, no erythema, minimal edema.  There is moderate serosanguineous drainage on the dressings.  What is the biggest impairment (limitation) to wound healing for this gentleman? 

Negative pressure wound therapy: 

For the above patient, you would like to add compression to her plan of care. Which compression plan is best for her?

Using the clock method please select the correct measurements for the below right heel wound with a depth of 0.5 cm.  The measurements between the labeled points on the photo are as follows:  A-E = 3.1 cm B-F = 2.8 cm C-G = 3.4 cm H-D = 2.5 cm        

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? 

A patient is referred to you for “bilateral leg edema and weeping.  Please provide patient with compression socks”.  You noticed when they transferred to a treatment table from their wheelchair they sound very short of breath.  You also noticed that your patient has what appears like edema in their arms/hands as well.  What is your main concern about applying compression? 

You are asked to evaluate a 56 year old woman for her dehisced hysterectomy site. The wound measures 1.5 x 5.2 x 4.0 cms.  At 3:00 she tunnels 15 cm.  At 9:00 she tunnels 6 cm.  There is a foul odor upon entry to the room, copious amount of yellowish-green drainage such she reports having to change her dressing three times per day.  The base of the wound is 70% yellow slough.  She has a moderate amount of edema and erythema extending away from the borders of the wound.   Are you concerned about infection for this patient?

Were you able to accomplish the last task? What happened?

Double angle formula