Either fluff or fold dressing to match size of ulcer bed and pack lightly. Cover with appropriate secondary dressing such as Hyperion Bordered Gauze . If needed, secure secondary dressing with Hyperion Tapeless Bandage . Change dressings as needed or as directed by a physician. Eliminate causative factors, e.g., pressure, friction, shear, and maceration.
Pressure Consider using devices to manage tissue load, such as Static or Dynamic support surfaces.
Use pressure reducing device to keep heels off bed and to prevent direct contact between bony prominences. Shear and Friction Use lifting devices when transferring or repositioning patient. Maintain the head of bed at lowest degree of elevation consistent with patient s medical condition. Maceration Minimize skin exposure to moisture due to incontinence, wound drainage, or perspiration. Use underpads or briefs to absorb moisture Assess dietary intake.