This Decision TreeCalc evaluates the following decision points:
- Assess ulcer stage, cleanse wound with normal saline or wound cleanser. Is Necrosis present?
- Exudate
- Use saline moistened gauze and cover dressing. Remoisten every shift. Change dressing frequently. Measure wound weekly. Is it healing?
- Use calcium alginates and cover dressing. Change frequently, and measure wound weekly. Is wound healing?
Decision Tree end points include:
- Debridement Protocol
- Monitor wound. Continue patient and family education.
- Unless there is significant deterioration, maintain treatment plan for 2 more weeks, reevaluate, and consider topical antibiotics such as silver sulfadiazine or triple antibiotic ointment.
References
- Adapted from Rural Family Medicine Website: http://www.ruralfamilymedicine.org accessed 5/6/1998.
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