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Hello I have a elderly patient with a plantar ulcer and are unsure what is the best primary dressing to use. The ulcer is down to bone and macerated at the wound base. A Pod had been dressing it previously and more recently district nurses seem only have to dressed the wound with Inadine ,melolin and tape! I have ordered Kerraped boots to offload the area

Thanks Roberta xXx

 

There is no real RCT multicentre evidence to show that any magic honey based, silver lined, gold infused dressing work - so i wouldnt really worry about that, inadine or NA(also lacking real evidence) will work fine - what you should really be looking into is reducing bioburden, debriding, offloading, checking the area for infection/osteomyelitis can she get an xray if the area is significantly probing to bone, does she have any micro or macro vascular problems, diabetes etc etc. im sure you have already covered most of this.

This is all far more important than what dressing is used - there is as much evidence to use spit and gauze than anything else (although i prob wouldnt try that!)