Protecting skin around the wound

Consider the skin around the wound when selecting a dressing. Use a dressing or retention system that does not cause further damage to tissue. Tissue damage can be caused by excessive exudate or moisture on the skin around the wound. This is managed by using a dressing that is appropriate to the amount of exudate (see Overview of appropriate wound dressings based on wound characteristics).

Regular washing of intact skin around the wound using a pH-appropriate cleanser is recommended (see Skin care for intact skin around an ulcer). Wipes that leave a protective polymer film on the skin can be considered, though these are not recommended for use under dressings with a silicone contact layer.

Avoid medical adhesive–related skin injury. Choose dressings that will not adhere to the wound. Remove dressings carefully; avoid harshly pulling dressings off. If a dressing has adhered to the wound, soaking the dressing with a solution containing a surfactant or softening agent (eg Prontosan, Octenilin) for at least 10 minutes can assist with removal.