I have a pt with a stage III to her sacrum. When she was admitted, it was 2.5x2.5x2, mostly pink. Hydrogel drsg was ordered. When I did my weekly reassessment, the wound was not responding well. It was larger, had no granulation tissue, and had macerated edges (no necrotic tissue was present but there was dark red pigmentation in some areas).
I am relatively new to wound care and have only seen positive things from hydrogel so far. I know the maceration is most likely from floor nurses not cutting the drsg to fit the wound, but in general, our pt's are well cared for and on a turning schedule.
Soooo, my question is, can someone recommend a different dressing for this wound?
Sorry if this sounds novice but I'd appreciate the help.