Wound care algorithm for diabetic ulcers
Wound care algorithm for diabetic ulcers Treatment - Diabetic Foot Ulcers Treatment - Diabetic Foot Ulcers
«Flowchart»

Evaluate patient.

Evaluate patient.

Evaluate patient.

Evaluate footwear.

Evaluate footwear.

Evaluate footwear.

End

End

End

Surgical referral for bony deformities

Surgical referral for bony deformities

Surgical referral for bony deformities

Wagner Grade O


Padding and accommodative devices
Callus debridement.

Wagner Grade O

Wagner Grade O


Padding and accommodative devices
Callus debridement.


Padding and accommodative devices
Callus debridement. Wagner Grade O

Wagner Grade 2


Follow grade 1 protocol
Rule out osteomyelitis (X-ray, bone scan, bone biopsy, or MRI)
Non—weight-bearing activity
Surgical consult
Plantar surface—amorphous hydrogel/hydrofier, alginate, or foam dressing
Dorsal surface—occlusive dressing if no drainage
Topical antimicrobial cream, ointment, or amorphous hydrogel

Wagner Grade 2

Wagner Grade 2


Follow grade 1 protocol
Rule out osteomyelitis (X-ray, bone scan, bone biopsy, or MRI)
Non—weight-bearing activity
Surgical consult
Plantar surface—amorphous hydrogel/hydrofier, alginate, or foam dressing
Dorsal surface—occlusive dressing if no drainage
Topical antimicrobial cream, ointment, or amorphous hydrogel


Follow grade 1 protocol
Rule out osteomyelitis (X-ray, bone scan, bone biopsy, or MRI)
Non—weight-bearing activity
Surgical consult
Plantar surface—amorphous hydrogel/hydrofier, alginate, or foam dressing
Dorsal surface—occlusive dressing if no drainage
Topical antimicrobial cream, ointment, or amorphous hydrogel Wagner Grade 2

Wagner Grade 3


Follow grade 1 protocol
Rule out osteomyelitis (X-ray, bone scan, bone biopsy, or MRI)
Plantar surface—amorphous hydeogel/hydrofiber, alginate, or foam dressing
Dorsal surface—nonocclusive dressing
Topical antimicrobial cream, ointment, or amorphous hydrogel Advanced would healing technologies might be prescribed

Wagner Grade 3

Wagner Grade 3


Follow grade 1 protocol
Rule out osteomyelitis (X-ray, bone scan, bone biopsy, or MRI)
Plantar surface—amorphous hydeogel/hydrofiber, alginate, or foam dressing
Dorsal surface—nonocclusive dressing
Topical antimicrobial cream, ointment, or amorphous hydrogel Advanced would healing technologies might be prescribed


Follow grade 1 protocol
Rule out osteomyelitis (X-ray, bone scan, bone biopsy, or MRI)
Plantar surface—amorphous hydeogel/hydrofiber, alginate, or foam dressing
Dorsal surface—nonocclusive dressing
Topical antimicrobial cream, ointment, or amorphous hydrogel Advanced would healing technologies might be prescribed Wagner Grade 3

Wagner Grades 4 and 5


Surgical consult and intervention

Wagner Grades 4 and 5

Wagner Grades 4 and 5


Surgical consult and intervention


Surgical consult and intervention Wagner Grades 4 and 5