Over-Granulating Wound
Description
Granulation tissue which is raised above the level of the surrounding skin.
Treatment Aim
• To reduce further development of granulation tissue
• To promote epithelialisation.
Treatment Primary Dressing
• Polyurethane foam film, to provide uniform downwards pressure against the granulation
Secondary Dressing
• Only required if primary dressing is non-adherent
Considerations
• Look for signs and symptoms of infection. Hyper-granulation can be encouraged by a bacterial load.
• Trialling an antimicrobial applied with a secondary dressing that will provide uniform downward pressure, as tolerated, on the wound may be of assistance.
• Topical steroids may be of use. Discuss with medical staff or nurse specialists in your area.
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