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

Which of the following is an advantage of total contact casting?

1. High compliance

2. Easy to apply

3. Requires frequent wound assessments

4. Lightweight and portable

The correct answer is: High compliance

Total contact casting is a treatment method primarily used for patients with diabetic foot ulcers and other foot and ankle conditions. One significant advantage of this approach is high compliance among patients. High compliance refers to the patient's adherence to the treatment regimen. Total contact casts are designed to distribute weight evenly and immobilize the foot, which helps in significantly reducing pressure on the ulcerated area. Because the cast is comfortable and effective in promoting healing, patients are more likely to keep it on as directed. This adherence is crucial because the success of healing wounds depends on minimizing movement and pressure that could impede recovery. By improving compliance, total contact casting enhances the likelihood of successful wound healing, which is a critical outcome in the management of diabetic foot ulcers. The comfort and effectiveness of the cast, therefore, contribute to better patient outcomes over time.