You are asked to evaluate a patient with a vertical abdomina…
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 cms x 2.5 x 5.6 cms. The wound is 80% yellow slough and 20% granular (but more on the pink than red side). There is minimal odor, no erythema, minimal edema. There is moderate drainage on the dressings. What is the biggest impairment (limitation) to wound healing for this gentleman?