i have a homecare patient with a hypergranulated, calloused wound to the end of his toe. I have provided wound care to this type of wound in the past with silver nitrate and had great results. it has scant to small amount of serous drainage. the wound has been present 7-8 months with no change. he is unable to go in to the wound care center. his PCP is unfamiliar with wound care and has not ordered treatment beyond TAO. Would it be better to suggest order for silver nitrate or something such as granulex?