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Wound Care Plan

Cancer – melanoma (foot)

Last Updated
15 April 2026
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Quick Overview

Reference ID Number: WL-WCP-11

Categories

Cancer

Scope of Practice (ScOP) Designation

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

Treatment Goals

To support mobility, reduce trauma to the wound, and manage odour causing significant patient distress.

Aim of Dressing

To protect the wound bed and assist with haemostasis in the event of bleeding.

Frequency of Dressing Change

Everyday

Consult(s) / Diagnostic Test Required

Orthotist Review

References

Shopping List

Dressing Pack (Small),Inadine (10cm x10cm),Vliwaktiv (10cm x 10cm),Hypafix (5cm x 10m),Darcoe Shoe (Padded)
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

    Protecting from trauma

    When the lesion is not bleeding, an atraumatic primary dressing is indicated.

     Swipe 
    Step 1

    Prepare Sterile Field

    Prepare a sterile field and arrange all sterile products using aseptic technique.
    Products Used
    Step 2

    Apply inadine

    Prepare Inadine by folding into appropriate portions (half or quarter) to minimise wound bed adherence.
    Products Used
    Step 3

    Apply Carbon dressing

    Apply a charcoal dressing (Vliwaktiv) to provide odour control and additional cushioning compared with Actisorb.
    Products Used
    Step 4

    Secure

    Secure with Hypafix; alternatively, a tubular bandage may be used.
    Products Used
    Step 5

    Darcoe shoe

    Arrange orthotic review to obtain a properly fitted Darco shoe. Although not typically used for long-term management, they may assist in safe mobilisation.They are no means trending but they do make mobilising safe.
    Products Used

    Protecting + maintaining haemostasis

    If active bleeding is present, apply a primary dressing to support haemostasis.

     Swipe 
    Step 1

    Prepare your sterile field

    Prepare a sterile field and arrange all sterile products using aseptic technique.
    Products Used
    Step 2

    Apply calcium alginate

    In the presence of active bleeding, apply and press a calcium alginate dressing directly to the wound to assist haemostasis. Do not attempt initial control with gauze followed by removal, as this may dislodge the clot.
    Products Used
    Step 3

    Apply Carbon dressing

    Select Vliwaktiv as the sole dressing, as Actisorb is likely to be overwhelmed by active bleeding.
    Products Used
    Step 4

    Secure

    Secure with Hypafix; alternatively, a tubular bandage may be used.
    Products Used
    Step 5

    Darcoe shoe

    Arrange orthotic review to obtain a properly fitted Darco shoe. Although not typically used for long-term management, they may assist in safe mobilisation.They are no means trending but they do make mobilising safe.
    Products Used
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