Wound Care Plan

Pressure Injury – (Stage 3) – Shepparton Retirement Village

Last Updated
15 August 2025
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Quick Overview

Reference ID Number: SRV-WCP-08

Categories

Pressure Injury

Scope of Practice (ScOP) Designation

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

Treatment Goals

Minimise further pressure the the affected area whilst aiding granulation tissue to occur

Aim of Dressing

Provide a moist wound bed environment whilst protecting the skin's integrity. By raising and supporting the affected area this will reduce the chances of further insult to the area.

Frequency of Dressing Change

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

References

Shopping List

Dressing Pack Basic – Shepparton Retirement Village,Normal Saline,Jelonet (10cm x 10cm) – Shepparton Retirement Village,Allevyn Heel Shaped Foam Dressing (10.5cmx13.5cm) – Shepparton Retirement Village
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

    Stage 3 Heel Pressure Injury

    Where the heel has suffered a pressure injury and there has been complete dermal tissue loss with the injury extending into the subcutaneous structures

     Swipe 
    Step 1

    Setup sterile field

    Setup your sterile field with all your sterile products
    Products Used
    Step 2

    Clean the wound bed

    Clean the wound gently to agitate the wound bed
    Products Used
    Step 3

    Primary Layer

    1) Gently pack the wound with the a double layer of jelonet if there is minimal exudate **2) where the exudate is moderate use aquacel
    Products Used
    Step 4

    Apply Heel dressing

    When applying the dressing minimise any creases
    Products Used
    Step 5

    Elevate the heels

    Order a heel elevator through Innovate Care. This will raise the heels off the mattress whilst supporting the feet through the lower legs thus avoiding another pressure injury forming due to the large surface area of the support.
    Products Used

    Stage 3 sacral/ scapula Pressure Injury

    Where the sacral/ scapula has suffered a pressure injury and there has been complete dermal tissue loss with the injury extending into the subcutaneous structures

     Swipe 
    Step 1

    Setup sterile field

    Setup your sterile field with all your sterile products
    Products Used
    Step 2

    Clean the wound bed

    Clean the wound gently to agitate the wound bed
    Products Used
    Step 3

    Primary Layer

    1) Gently pack the wound with the a double layer of jelonet if there is minimal exudate **2) where the exudate i moderate use aquacel
    Products Used
    Step 4

    Apply appropriate dressing

    When applying the dressing minimise any creases
    Products Used
    Step 5

    Elevate the heels

    Using a wedge offload the area. The wedge will aid the patient to stay off the affected area and allow them to use it as a support.
    Products Used