Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What is a beneficial practice for heel elevation in wound care?

1. Using just quilted boots

2. Utilizing hard surfaces

3. Implementing protective dressings

4. Putting weight on the heel regularly

The correct answer is: Implementing protective dressings

Implementing protective dressings is a beneficial practice for heel elevation in wound care because these dressings serve to reduce friction and shear forces on the vulnerable skin of the heel. By safeguarding the heel area, protective dressings help minimize the risk of pressure ulcers and facilitate a conducive healing environment for any existing wounds. They often maintain moisture balance and offer cushioning that further protects the integument and underlying tissues from injury, allowing for optimal heel elevation while promoting healing. Other practices mentioned, such as using just quilted boots or utilizing hard surfaces, do not offer the same level of protection or might even exacerbate pressure injuries by not accommodating the need for a cushioned, supportive environment. Additionally, putting weight on the heel regularly contradicts the principle of offloading pressure, which is critical in managing and preventing heel wounds. This highlights the importance of protective dressings in managing heel care effectively.