Wound Care Plan

Rheumatoid arthritis – Open wound (Toe)

Last Updated
19 May 2025
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Quick Overview

Reference ID Number: TWS-WCP-43

Categories

Rheumatoid arthritis

Scope of Practice (ScOP) Designation

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

Treatment Goals

Reduce oedema and maceration to allow wound edges to to close.

Aim of Dressing

Allow for the wicking of the exudate away from the wound bed to stop the maceration of the periwound.

Frequency of Dressing Change

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

Consult(s) / Diagnostic Test Required

Orthotics (for darcoe shoe - forfoot offloading)

References

Shopping List

Dressing Pack (Small),Normal Saline,Aquacel Ag Ribbon (2cm x 45cm),Zetuvit Plus (10cm x 10cm),Cotton Bandage and Crepe
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

    Left foot great toe rheumatoid arthritis

     Swipe 
    Step 1

    Setup sterile field

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

    Clean the wound

    Clean the wound gently as to not agitate the suture line due to the fragile peri wound skin
    Products Used
    Step 3

    Paint the wound

    Paint the wound and the peri-wound with betadine TWICE. Allowing 2 min in between each coat. This will dry out the wound bed and peri-wound.
    Products Used
    Step 4

    Apply Primary dressing

    Apply the aquacel ag ribbon so that it is layer upwards over the wound bed.
    Products Used
    Step 5

    Apply zetuvit

    Apply zetuvit. Do not use a combine as the fluid will not be captured but rather leech back out onto the wound bed.
    Products Used
    Step 6

    Cotton bandage and crepe

    Wrap the foot up with cotton bandage and crepe so that a small amount of compression is on the dorsum of the foot.
    Products Used