Best Practices for Wounds

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I need resources for best treatments for wounds. For example, when you have a superficial wound on top of foot and you can see tendon, minimal drainage, no slough, no odor, patient wears a boot and it rubs spot...what is best to promote healing of new tissue over tendon?

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Specializes in ICU.

Santyl ointment

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And get orthotics to make a better-fitting boot stat, or cut out the area that's causing the injury.

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Please don't mistake me for confrontation, I was just curious as to why you'd use santyl if there is no slough? I'm thinking there's a secondary use that I don't know about and I would like to learn more :)

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Specializes in Complex pedi to LTC/SA & now a manager.

Santyl is for necrotic tissue or eschar not open tissue or slough. Must be stopped once necrotic tissue has been debrided and granulation tissue present. Definitely not for superficial wounds. (I used to know some of the scientists that developed and created collagenase ointment) I like GrnTea's idea.

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Always treat the source first. In this case, the boot is rubbing, so the source is pressure. Relieve the pressure. The client should not be wearing that particular boot.

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That won't work. Its more likely too make it worse. It works by deriding. It should not be used on wounds unless they're neurotic.

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