The current state of wound care is undergoing changes, in part because numerous wound care materials have fallen short. Some even bring about negative results — drying out, scabbing, or maceration (where too much moisture from a draining wound enlarges the wound perimeter). Fortunately, speaking for myself, I have found a systematic approach and two wound treatments that I can rely on.
In my March column, I reported on a shallow yet dangerous wound I discovered on my heel. I followed five critical protocols — eliminating edema, staying free of pressure and infection, having adequate circulation and eating more protein — and the wound healed in one month. I also got help from using two Unna boot wraps (see Para/Medic, Feb. 1, 2014) followed by a flexible silicon mesh dressing impregnated with petroleum jelly (ADAPTIC).
I changed each Unna boot dressing after three to four days. The