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Wound Management — SCE Dermatology MCQ

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HardWound HealingWound ManagementSCE Dermatology

After debridement, a category 4 sacral pressure ulcer remains clean but produces enough exudate to require several dressing changes each day. Offloading, nutrition and a suitable support surface are in place. How should negative-pressure wound therapy be used?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: DUse 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