Wound Care Plan

Diabetic Ulcer – Heel (with Charcot foot)

Last Updated
19 May 2025
Back

Quick Overview

Reference ID Number: TWS-WCP-19

Categories

Diabetic Ulcer

Scope of Practice (ScOP) Designation

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

Treatment Goals

To treat the long standing diabetic ulcers through appropriate offloading (through orthotics), tracking changes in the anatomy of the foot and foot pressures ( through podiatry and orthopedics) as well as maximising blood flow through the limb (vascular). All these specialties mixed in with wound care aim to give the patient the best quality of life and maximising the mobility of the patient.

Aim of Dressing

Remove the slough by chemical agents and provide a soft non-pin pointed dressing that allows for offloading through a customised camboot.

Frequency of Dressing Change

2 Days(s) Min - 3 Days (Max)

Consult(s) / Diagnostic Test Required

Reviews by: Vascular surgeons, podiatry, orthotics, physiotherapy, artieral duplex's, toe pressures

References

Shopping List

Dressing Pack (Small),Urgo Clean Ag (10cm x 10cm),Normal Saline,Biatain Foam (Non-adhesive) (10cm x 10cm),Hypafix (5cm x 10m)
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

    Foam Dressings

    Where a patient does not have the capacity to manage an activac a foam dressing can be used so that the dressing does not clump and therefore apply unnecessary direct pressure to any point in the foot.

     Swipe 
    Step 1

    Prepare Sterile Field

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

    Clean wound bed

    Remove any hardened devitalised tissue as this will cause undermining. This also allows fresh wound edges to come together. This may require a surgical team members or a podiatrist or wound care professional.
    Products Used
    Step 3

    Apply Urgo Clean Ag

    Cut the first piece of the foam into the rough shape of the wound bed. place this in there and then apply another piece of the foam to make the deficit equal with the base of the heel.
    Products Used
    Step 4

    Cover with Biatain

    Apply the Biatain Non-adhesive
    Products Used
    Step 5

    Secure

    Secure dressing with Hypafix
    Products Used

    Vac dressings

    Where a patient can mobilise with a Activac this can greatly improve the wound healing time. However this comes with the risk of tripping and leaking issues.

     Swipe 
    Step 1

    Prepare Sterile Field

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

    Clean wound bed

    Remove any hardened devitalised tissue as this will cause undermining. This also allows fresh wound edges to come together. This may require a surgical team members or a podiatrist or wound care professional.
    Products Used
    Step 3

    Apply bridge dressing

    Apply bridge dressing making sure the orientation of the bridge as to not cause kinking of the line as it runs in between the patients leg and the camboot.
    Products Used
    Step 4

    Secure with Tubular form

    Secure with tubular form. A small amount of compression is ok but it is only there to aid in the securing of the bridge dressing.
    Products Used