Consultation services range from practice considerations in evaluating and treating patients, procuring appropriate equipment and supplies, documentation and marketing. Several times a year, the instructor accepts select applicants for personalized instruction. Next class dates to be announced. Irrigating a wound is always appropriate. Wounds need to be irrigated at dressing changes.
Necrotic tissue is nature's natural dressing.
Heel ulcers with dry eschar need not be debrided. It is ok to make a wound bleed. The best way to prevent an infection in an open wound is to use an antimicrobial topical agent. Exogenous enzymes should be used to open wounds even when dominated by fibroblasts. The staging system used to describe pressure ulcers is accurate, objective and should still be used.