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Wound Layers - From Center Outward Wound Layers: From Center Outward Document Created: Sunday, May 17, 2026 11:36 AM CDT Wound Size: • Actual measured diameter: 1 inch (approximately 2.5 cm) • Estimated measurement from photo: ~0.9 – 1.1 inches 📸 Reference Image: Wound on the heel showing clear layered structure. (Insert photo here when printing or sharing) 1 Central Wound Bed (Deepest Layer) Appearance: Yellowish-brown oval area in the center. What it is: Slough (moist dead tissue) or early eschar. Teaching Point: This is non-viable tissue that must be removed (debrided) before the wound can heal properly. Goal: Gentle debridement (autolytic or enzymatic) + keep moist. ...
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Wound Care Procedure - Collagenase & Saline Gauze Wound Care Procedure Instructions Document Created: Sunday, May 17, 2026 Yes — your plan is correct. For this heel wound (with central slough and healthy pink granulation), irrigating with normal saline followed by collagenase and saline-moistened gauze is an appropriate approach. Daily Wound Care Steps 1 Cleanse / Irrigate the Wound Gently rinse or irrigate the wound with Normal Saline using a syringe or the provided wound cleanser. This removes loose debris without damaging healthy tissue. 2 Apply Collagenase Ointment Apply a thin layer of collagenase (e.g., Santyl) directly to the wound bed, especially over the yellowish slough area. Use about the thickness of a nickel. 3 Cover with Saline-Moistened Gauze Place gauze moistened with normal saline (wrung out so it’...
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treatment 5-17-20276

Wound Care Instructions - Heel Wound Wound Care Instructions For Your Heel Wound Date: [Insert Today's Date] Your Wound Today You have a wound on the bottom or side of your heel. It has: A small yellowish spot in the middle (this is dead skin/debris that needs to clean out). A healthy pink/red area around it (new healing tissue growing in). A pale edge where new skin is starting to grow over the wound. It is healing, but it needs your help to heal faster. 1. MOST IMPORTANT: Keep ALL Pressure Off the Heel Do NOT walk on it or let it touch the bed or chair. Use the special heel boot or pillow we gave you. Stay off your foot as much as possible — use crutches or a walker if you need to move. Check the heel every time you change position. 2. How to Change the Dressing (Usually every 3 days or w...
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