Wound Care Plan

Ulcerated Achilles

Last Updated
19 May 2025
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Quick Overview

Reference ID Number: TWS-WCP-78

Categories

Ulcers

Scope of Practice (ScOP) Designation

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

Treatment Goals

Reduce bioburden on the wound bed and remove slough whilst providing a moist wound care environment. The dressing must allow for appropriate footwear to be worn (e.g no cotton bandage and crepe to be used) due to the patient's falls risk

Aim of Dressing

Increase granulation tissue by removing bioburden with a streamlined securing dressing

Frequency of Dressing Change

3 Days(s) Min - 9 Days (Max)

References

Shopping List

Dressing Pack (Small),Octenilin Wound Irrigation Solution (350ml),Gauze squares,Urgo Clean Ag (10cm x 10cm),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

    Ulcerate Achillies Tendon

     Swipe 
    Step 1

    Setup sterile field

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

    Cleanse the wound bed

    Cleanse the wound bed by placing the woven gauze (not the pressed gauze found in your dressing pack) onto the wound and saturate with octenilin solution.
    Products Used
    Step 3

    Mechanical debridement

    Use the gauze covered in octenilin to scrub the wound bed to remove the bioburden and any visible cellular debris or devitalised tissue
    Products Used
    Step 4

    Apply primary dressing

    Apply the Urgo Clean Ag stick side down over the wound. If it flexes too much you may need to cut slits into it or cut the whole dressing smaller
    Products Used
    Step 5

    Apply secondary dressing

    If there is noticeable ooze coming from the wound when the previously dressing was removed using a secondary dressing is then required.
    Products Used
    Step 6

    Secure dressing

    Assess the skin of the patient and if the skin is healthy you can use a sensitive tape like hypafix sensitive but if not secure with a tubular bandage that has been measured to fit the patient's ankle appropriately.
    Products Used