Procedure‐Focused Wound Care That Works
Comprehensive Wound Assessment
What it is?
A structured evaluation of circulation, sensation, pressure, infection risk, and wound bed characteristics with measurements and photographs for tracking.
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When we use it
● All new patients and any stalled wounds
● To recalibrate care when progress slows
● To coordinate with your primary and specialty teams
What to expect
Your first visit includes a focused history, vascular and neurologic checks, accurate
measurements, and clear images. We build a written plan with timelines and supply guidance.
Benefits
● Precise baseline to measure progress
● Early detection of barriers to healing
● Clear, shareable plan for your care team
Risks & considerations
● Minor discomfort during sensory or vascular checks
● Additional testing may be recommended
Home care tips
● Bring medication lists and recent labs
● Protect the wound during travel with a clean dressing
Sharp & Conservative Debridement
What it is?
Careful removal of nonviable tissue is necessary to reduce bioburden and restart stalled Healing.
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● Necrotic, sloughy, or hyperkeratotic tissue
● Wounds that have stalled or show heavy biofilm
● Before applying grafts or advanced dressings
What to expect
Performed with protective techniques. We discuss pain control options and provide after‐care instructions.
Benefits
● Converts a chronic wound to an acute healing state
● Improves the effectiveness of dressings and therapies
● Reduces odor and drainage
Risks & considerations
● Temporary discomfort or minor bleeding
● Not appropriate when blood flow is critically reduced
Home care tips
● Keep dressings clean and dry as instructed
● Watch for increased pain, redness, or drainage, and call us with concerns
Moisture Balance & Advanced Dressings
What it is?
Selecting dressings that maintain a moist healing environment while managing exudate and protecting tissue.
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When we use it
● Most chronic wounds benefit from moisture balance
● To protect fragile skin and reduce maceration
● To deliver antimicrobials or growth‐supportive contact layers
What to expect
We choose evidence‐based dressings and set a change schedule that matches your exudate level and lifestyle.
Benefits
● Faster granulation and epithelialization
● Less maceration and skin breakdown
● Fewer unplanned dressing changes
Risks & considerations
● Sensitivity to adhesives or materials
● Overly frequent changes can slow progress
Home care tips
● Follow the change schedule
● Keep the surrounding skin dry and protected
Compression Therapy & Edema Control
What it is?
Graduated compression using wraps or garments to reduce venous hypertension and swelling.
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● Venous leg ulcers or mixed‐etiology lower limb ulcers
● Chronic leg swelling that stalls healing
● After vascular evaluation, when indicated
What to expect
We select appropriate compression levels and teach elevation and calf‐pump activation. We monitor fit and comfort at follow‐ups.
Benefits
● Reduces edema and pain
● Improves oxygen and nutrient delivery
● Decreases recurrence risk
Risks & considerations
● Not suitable for severe arterial disease
● Requires consistent use for best results
Home care tips
● Elevate legs when seated
● Keep wraps dry and report numbness or tingling
Skin Substitutes & Tissue Grafts
What it is?
Bioengineered tissue or graft materials are applied to chronic wounds that have stalled after standard care.
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● Diabetic foot ulcers or venous ulcers not responding to standard therapy
● Clean, well‐vascularized wound beds after debridement
What to expect
We prepare the wound bed, place the graft, and secure a protective dressing plan. Follow‐up is scheduled to assess, take, and plan additional applications if needed.
Benefits
● Kick‐starts healing in persistent ulcers
● Reduces time to closure in selected cases
● Allows earlier return to activity
Risks & considerations
● Not effective if pressure or edema are unmanaged
● Requires strict infection control and follow‐up
Home care tips
● Keep dressings intact between visits
● Avoid pressure on the treated area
Infection Management
What it is?
Culture‐guided local and systemic therapy combined with source control.
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When we use it
● Signs of infection, such as warmth, swelling, pain, odor, or drainage
● Recurrent infections or cellulitis
What to expect
We obtain cultures when appropriate, debride nonviable tissue, and use targeted antimicrobials. If a deeper infection is suspected, we coordinate imaging or specialty input.
Benefits
● Reduces bacterial load and inflammation
● Protects healthy tissue
● Supports durable healing
Risks & considerations
● Possible sensitivity to medications
● Requires adherence to dosing and dressing schedules
Home care tips
● Take medications exactly as prescribed
● Keep the wound covered and clean
Pain, Nutrition & Glycemic Support
What it is?
Supportive care that reduces pain and addresses systemic factors that slow healing.
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When we use it
● Pain limits function or dressing tolerance
● Unintended weight loss, poor protein intake, or elevated glucose
What to expect
We personalize analgesia plans, review diet with practical protein goals, and coordinate glucose
targets with your clinicians.
Benefits
● Better comfort and sleep
● Improved tissue repair capacity
● Fewer setbacks between visits
Risks & considerations
● Some medications can cause drowsiness or GI upset
● Nutrition plans may need adjustments for comorbidities
Home care tips
● Use pain medicines as directed and track relief
● Add protein to every meal and hydrate well