Undermining and sinus tracts may be associated with Stage IV pressure ulcers. National Pressure Ulcer Advisory Panel Definition Goals Cover, protect, hydrate, insulate, absorb, cleanse, prevent infection, obliterate dead space, promote granulation.
Foams provide barrier protection.
Change dressing daily or when strike through occurs. OR Irrigate any debris from the wound with normal saline. Change PRN according to manufacturer's recommendations. Irrigate any debris from wound with normal saline. Cover with a bulk dressing, such as ABD pad or ExuDry.