MOLISAN — SKIN & WOUND CARE SOLUTION
What to establish with a leg ulcer
- how long it has been present and how it began;
- whether there is marked swelling or varicose veins;
- the colour and temperature of the foot;
- pain at rest, at night or when walking;
- diabetes, vascular disease or previous thrombosis;
- whether arterial supply and the venous system have been assessed.
Role of MOLISAN
MOLISAN — SKIN & WOUND CARE SOLUTION is used for local care of the wound surface. For a suitable ulcer, pour the solution into a clean cup, warm it in a water bath to about 42 °C and apply it for about 15–20 minutes. Select the ongoing dressing according to wound depth, exudate and surrounding skin.
Why arterial circulation must be assessed
Compression is often a main part of care for a venous ulcer because it reduces venous congestion and swelling. Before therapeutic compression, significant arterial impairment must be excluded, using vascular assessment such as Doppler examination and ankle–brachial pressure index (ABPI) when needed.
Possible signs of infectious complication
A chronic ulcer may have exudate and bacterial colonisation without clinical infection. Changes in condition matter more than an isolated finding.
- redness or swelling spreads beyond the ulcer;
- surrounding skin becomes noticeably warmer;
- pain increases;
- fever develops;
- the wound or the person’s condition deteriorates rapidly.
Useful photographs
- the whole leg and ulcer location;
- wound size with a scale or ruler when possible;
- the ulcer bed and edges;
- surrounding skin;
- swelling and limb colour changes.
Why the history matters more than one photograph
A photograph cannot show venous pressure, arterial inflow, diabetes or other systemic causes. Through COALESIA, a doctor can consider photographs together with duration, pain, swelling, vascular history and other information.
When faster assessment is needed
- the foot is cold, pale or blue;
- severe rest pain or rapid deterioration develops;
- the ulcer enlarges or deepens sharply;
- redness and swelling spread;
- fever or marked general deterioration develops;
- a person with diabetes has a new or worsening foot wound.
