Practical wound management in long-term care

Chronic wounds are frequently seen in long-term care residents who have coexisting chronic medical conditions. Treating these wounds can be a challenge. Given the vast number of wound care products available, it can be confusing when deciding which wound care product to use for a specific wound. The costs associated with treating chronic ulcers in the long-term care setting can also be challenging. Four types of chronic ulcers will be discussed: ischemic ulcers, venous ulcers, neuropathic ulcers, and pressure ulcers. Each ulcer type requires a unique treatment plan in order to facilitate healing. Ischemic ulcers require improved blood flow. Venous ulcers require compression. Neuropathic and pressure ulcers require adequate off-loading and pressure relief. By understanding these key principles, wound healing is possible by using a practical and cost-effective approach.