Wound Care Plan

Hypergranulation – Great Toe

Last Updated
19 May 2025

Quick Overview

Reference ID Number: TWS-WCP-25

Categories

Scope of Practice (ScOP) Designation

Treatment Goals

Reduce bleeding from the highly exposed arterioles whilst providing downward pressure to condensing the hypergranulation tissue and stimulating epithelial cells

Aim of Dressing

Aid the clotting cascade whilst providing protection and downward pressure on the wound bed. The dressing MUST stay intact for 4 days.

Frequency of Dressing Change

4 Days(s) Min - 7 Days (Max)

Product Selection Disclaimer:

The wound care products being currently used are a suggestion ONLY. They do not take into account your patient's individual needs which you must assess. No funding from medical companies has been provided and wound care products are chosen on their merit and what is available on the NSW Health State Wound Care Contract. Where an exact brand name product is not available we suggest you review the alternative tab or use another wound care product from its category eg. Hydrofibre

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Care Plans

Hypergranulation to great toe

Patient had high right great toe amputated. The dressing regime that was used to aid in the granulation tissue growth was used for 1 month more than it should. Because the new tissue is delicate and unprotected it is prone to bleeding.

 Swipe 
Step 1

Prepare Sterile Field

Prepare sterile products
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Step 2

Clean the wound bed

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Step 3

Apply alginate

The aim to to support clotting if/when the wound bleeds
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Step 4

Apply foam

apply double layer of foam over the wound. Place a 2.5cm x 2.5cm on top of the wound and then a 2.5cm x 5cm piece on top to apply pinpoint pressure on to the hypergranulation area
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Step 5

Secure

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Step 6

Apply light pressure

Carefully wrap the foot and using the crepe bandage apply a moderate amount of stretch so that another layer of light pressure is added.
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