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* Is there any Necrotic tissue that needs to be debrided?
Make sure the wound has the ability to heal. If it does not, then moist interactive dressings and active surgical debridement to bleeding tissue are contraindicated.
* Is the wound Infected or inflamed?
Clinicians often look for more than 1 sign or symptom before diagnosing infection.
Do the specific wound Characteristics, such as location, need to be considered as special needs (eg, around the anus where a waterproof adhesive dressing may be preferred)? Is pain an issue?
* Is there any Exudate?
If so, determine why and how much, as well as the color and consistency.
Exudate may indicate that the cause of the wound has not been treated (such as edema because of venous insufficiency), congestive heart failure (look for bilateral involvement and extension above the knee), low albumen (malnutrition, kidney, or liver disease), or infection (check for symptoms or signs). Protect the periwound skin from exudate by using absorbent dressings. Select a dressing by answering the 4 questions above. Try using this memory jogger to help remember them:
Selecting the right wound dressing
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