You are evaluating a patient for a plantar diabetic foot ulc…
You are evaluating a patient for a plantar diabetic foot ulcer, under the first metatarsal head. He has already seen a vascular surgeon who states that the patient has adequate blood flow for wound healing. You test the patient’s sensation and he does have a loss of protective sensation. The wound has minimal drainage, no odor, and is 30%slough and 70% pink granular. His blood sugar this morning was normal. What must be included in your plan for this patient in order to treat the underlying cause and allow the wound to close?