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Wound Care Plan

Diabetic Foot Ulcer – General Practitioner

Last Updated
15 April 2026
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Quick Overview

Reference ID Number: PH-WCP-005

Categories

Diabetic Ulcer

Scope of Practice (ScOP) Designation

General Practitioner,Practice Nurse

Treatment Goals

Remove cellular debris via mechanical or sharp debridement to support healing by secondary intention, alongside management of venous insufficiency.

Aim of Dressing

Perform debridement of non-viable tissue as tolerated by the patient and initiate compression therapy to a level of patient compliance and comfort.

Frequency of Dressing Change

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

Consult(s) / Diagnostic Test Required

Ankle Brachial Index/Toe Pressures

References

Shopping List

Dressing Pack (Small),Normal Saline,Prontosan (350ml Bottle),Inadine (10cm x10cm),Zetuvit Plus (10cm x 10cm),Fixomull Stretch,Coban 2,Iodosorb (10g),Gauze squares
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

    Mechanical Debridement

    The patient has a non-infected diabetic foot ulcer requiring mechanical debridement.

     Swipe 
    Step 1

    Setup sterile field

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

    Cleanse the wound bed

    Cleanse the wound bed using normal saline and sterile gauze.
    Products Used
    Step 3

    Mechanical debridement

    Use gauze soaked in Prontosan to gently scrub the wound bed, removing bioburden, visible cellular debris, and devitalised tissue.
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    Step 4

    Apply primary dressing

    Once the wound is cleaned, apply UrgoClean adhesive side down. For deeper wounds, cut to size and pack into the wound bed, then overlay with remaining dressing as required.
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    Step 5

    Apply Secondary dressing

    Cover with secondary dressing
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    Step 6

    Secure

    Fix in place using tape or cotton bandage, followed by crepe bandaging.
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    Sharp Debridement with silver dressing

    The patient has an infected diabetic foot ulcer requiring sharp debridement.

     Swipe 
    Before the procedure begins

    Assess the pain tolerance

    If the wound area is highly sensitive, consult the Medical Officer regarding the use of local anaesthesia, allowing approximately 30 minutes for full effect.
    Products Used
    Step 1

    Setup sterile field

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

    Clean the wound

    Cleanse the wound bed using normal saline and sterile gauze.
    Products Used
    Step 3

    Mechanical debridement

    Use gauze soaked in Prontosan to gently scrub the wound bed, removing bioburden, visible cellular debris, and devitalised tissue.
    Products Used
    Step 4

    Sharpe Debridement

    Where mechanical debridement is insufficient, and if within scope of practice, undertake sharp debridement to remove devitalised tissue using a scalpel.
    Products Used
    Step 5

    Apply Primary Dressing

    Once the wound is cleaned, apply UrgoClean Ag sticky side down. If the wound has depth, shape and pack the dressing into the wound, then overlay with the remaining portion as required.
    Products Used
    Step 6

    Apply Secondary dressing

    Cover with secondary dressing
    Products Used
    Step 7

    Secure

    Secure the dressing with tape or an appropriately fitted tubular dressing.
    Products Used
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