Sorry to keep using this forum as a cheat sheet, but this wound is driving me up the WALL!
It's an elderly lady with a hx of reoccuring C-diff. The facility cleared her with a single sample, but there was an enormous mucus filled, foul loose stool while I was doing wound care today, so I am suspecting it's back.
At any rate, she has a sacral wound that is approx 15 cm wide, 15 cm long, 2-3 cm deep, with slough covering about half the wound. The wound tunnels around the edges perhaps 3cm- and has a very foul smell. The left edges of the wound also appear to be necrotic, and loose. She has multiple smaller ulcerations leading down towards her anus. This is post surgical debridement that occured at the hospital, and I'd say the whole wound is around three months old. She's been moved off of my unit recently after a hospital stay, so I don't know the exact measurements anymore.
Honestly I think she needs to go to the wound clinic, right now they are just packing it with dakins, but it's continuing to decline.
No one at this facility is Wound care certified, so the dressings get a little screwy sometimes I think.