What principles are used for determining dressing materials for Mr North?
John North, 53, has a history of type I diabetes mellitus, cigarette smoking (40 pack years), coronary artery disease (CAD) and peripheral vascular disease (PVD). Six weeks ago, he developed a wound on his left heel that measured 4 cm by 2 cm. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a below knee amputation (BKA) of the left lower extremity tomorrow at 10 am. His meds include daily insulin, aspirin 325 mg/day and Pletal (cilostazol) 100 mg b.i.d. He has an advanced directive and no known drug allergies (NKDA).
What will be an ideal response?
Answer:
The purpose of dressings is to help meet the goals of postoperative management: healing, providing protection from outside trauma, managing pain, initiating early weight bearing, controlling oedema while properly shaping the residual limb, preventing flexion contractures, regaining preoperative functional level, minimising depression and executing the proper care of the contralateral limb.
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