Wound Care Management

How deep is the wound?

  • Wound depth cannot be accurately assessed until cleaned of slough, debris, and dressing residue.

  • Wounds that are covered with eschar cannot be assessed for depth.

  • "Wounds with depth are packed to eliminate dead space and the potential for abscess formation. However, over-packing a wound can result in ischemia of fragile tissue"

  • Packing should be loose, while contacting all wound surfaces and not mounding above the skin surface

  • Wounds should be thoroughly assessed for undermining, tunneling and the depth of these should be measured with a sterile cotton swab

  • Accurate measuring and recording of wound depth is essential in evaluating wound healing