Informed by SN that patient complaint of discomfort at the wound site. Attended stat.
Upon attendance, patient is comfortable, no other active complaints.
O/E; Alert, not septic Temperature; BP; PR; RR;
GM (if diabetic)
WI (wound inspection).
Dressing soaked ++ with seropurulent discharge.
10x7cm wound at plantar surface of right foot, slough+++ with pus+++ and maggots +++ Necrotic edges at lateral side of the wound, with surrounding erythematous tissues.
Dressing done with turpentine & copious normal saline.
Plan; 1- For wound debridement under LA as planned (awaiting minor OT call) 2- Diabetic diet. 3- KIV refer medical if GM not well controlled.
See the difference? 😏
Which kind of doctor you wanna be?
Decide & prepare yourself well!
(P/s If you do not know, the least you can do is to ASK around how to document things😣, kalau tak tahu, jangan buat-buat tahu!)