Wound Care Plan

Cancer – melanoma (foot)

Last Updated
19 May 2025
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Quick Overview

Reference ID Number: TWS-WCP-11

Categories

Cancer

Scope of Practice (ScOP) Designation

Registered Nurse (RN),Enrolled Nurse (EN),Medical Officer

Treatment Goals

To maintain patient's mobility, reduce trauma to the wound and reduce the odor that was causing the patient the most discomfort

Aim of Dressing

Protect the wound bed and if bleeding aid in haemostasias

Frequency of Dressing Change

Everyday

Consult(s) / Diagnostic Test Required

Punch biopsy

References

Shopping List

Dressing Pack (Small),Inadine (10cm x10cm),Vliwaktiv (10cm x 10cm),Hypafix (5cm x 10m),Darcoe Shoe (Padded)
Page Table of Contents

    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

    Photo Gallery

    Care Plans

    Protecting from trauma

    When the growth isn't bleeding a you are after a atraumatic primary dressing

     Swipe 
    Step 1

    Prepare Sterile Field

    Prepare your sterile field with your sterile products
    Products Used
    Step 2

    Apply inadine

    Fold the inadine in half or quarters. This is to minimise the chances of the dressing adhering to the wound bed.
    Products Used
    Step 3

    Apply Carbon dressing

    Apply the carbon dressing. In this care plan i have used Vliwaktiv as it has a more padding than the Actisorb
    Products Used
    Step 4

    Secure

    We used hypafix but you could also use Tubular form
    Products Used
    Step 5

    Darcoe shoe

    Obtain a properly fitted Darcoe shoe. This can be done through requesting an Orthotic review. They are no means trending but they do make mobilising safe.
    Products Used

    Protecting + maintaining haemostasis

    When the growth is bleeding a you are after a primary dressing that will

     Swipe 
    Step 1

    Prepare your sterile field

    Prepare your sterile field with your sterile products
    Products Used
    Step 2

    Apply alginate

    If the wound is active bleeding apply and press the alginate dressing on. Don't be tempted to try stop it with gauze and then remove it as this will dislodge the clot.
    Products Used
    Step 3

    Apply Carbon dressing

    Only use the Vliwaktiv as the Acticoat will be over run by the frank blood
    Products Used
    Step 4

    Secure

    We used hypafix but you could also use Tubular form
    Products Used
    Step 5

    Darcoe shoe

    Obtain a properly fitted Darcoe shoe. This can be done through requesting an Orthotic review. They are no means trending but they do make mobilising safe.
    Products Used