Wound Management — SCE Dermatology MCQ
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Correct answer: D — Use it to reduce dressing-change frequency while continuing the wider pressure-ulcer plan
Explanation lettering: C = shown as A · D = shown as B · A = shown as C · E = shown as D · B = shown as E
E is correct. NICE advises against routine negative-pressure wound therapy for adult pressure ulcers, but permits it where it is needed to reduce the number of dressing changes, such as in a wound with a large volume of exudate. It remains an adjunct: pressure redistribution, wound assessment, debridement when indicated, nutrition and appropriate conventional care continue. Ulcer category alone does not establish additional healing benefit. NPWT neither replaces offloading nor sterilises the wound and it is not primarily an antimicrobial-delivery system. The indication here is the practical management of exudate, with ongoing reassessment of benefit and complications.
Reference: NICE CG179 pressure-ulcer recommendations: https://www.nice.org.uk/guidance/cg179/chapter/recommendations