Before we do a wound dressing, we will assess the wound carefully
We study the colour, smell, size, depth and vascularity factor. If we find that the wound has bad odour, smelly, infected, has puss, poor blood flow and the skin has changed colour to black/gangrene, we will recommend the patient to see a doctor for prompt action to rectify the issues. We do not dress gangrenous & infected wounds!
Upon each visit, a photograph of the wound will be taken before dressing is done to follow up on the healing progress..
If the wound is sloughy, we will either use a modern dressing or recommend maggot debridement therapy which will be entirely the option of the patient.
The colour of the tissues at the wound can indicate different stages of healing.For example, if it is beefy red, it shows granulation is takng place.If it is pink in colour then we know epithelialization is occurring and these colour changes are on the right track of healing provided no the complication occurs such as tunneling or poor vascularitis. But if the dressing turns green, we know there is bacterial infection and we will advise the patient to see a doctor asap. In the meantime, we will cover the infection with silver dressing.
It is very important to assess the wound carefully so that any changes in the wound bed and surrounding will affect the healing process.