Wound Care

Wound assessment, dressing selection, and healing progress tracking

Sushila Mehta, 82F

Pressure Injury — Sacrum · Grade III

Stagnant

Dimensions: 6.2 × 4.8 cm, depth 1.2 cm

Exudate: Moderate seropurulent

Granulation: 40%

Slough/Eschar: 60%

Dressing: Alginate + secondary Mepilex Border

Frequency: Every 2 days

Continue NPWT (Negative Pressure Wound Therapy). Nutritional support — albumin 2.8 → target 3.5. Re-assess for surgical debridement if no improvement in 2 weeks.

Mahesh Pillai, 68M

Diabetic Foot — Right 1st + 2nd toe (dry gangrene) · Grade III

Deteriorating

Dimensions: Toes fully gangrenous — no measurement

Exudate: Nil (dry necrosis)

Granulation: 0%

Slough/Eschar: Eschar

Dressing: Dry dressing — no moisture (dry gangrene protocol)

Frequency: Daily

Vascular review for revascularisation. CT angiography booked. No debridement until vascular status assessed. Glycaemic control. If CLI not correctable — amputation planning.