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Advanced Wound Care care at Merina Medical Centre

Treatment pathway

Advanced Wound Care

A structured, diagnosis-led approach for chronic, complex and slow-healing wounds—not dressing changes in isolation.

A wound that is not improving deserves a clear assessment of its cause, blood supply, pressure and infection risk rather than repeated dressings alone.

Treatment overview

Care is shaped around the person, the diagnosis and the goal.

A structured, diagnosis-led approach for chronic, complex and slow-healing wounds—not dressing changes in isolation. Care considers wound cause, depth, tissue condition, infection risk, circulation, pressure, nutrition and the surrounding skin before selecting an appropriate pathway. Some wounds need a change in the cause of pressure or blood flow before they can heal.

Advanced Wound Care supporting clinical detail at Merina Medical Centre

Treatment context

Assessment and prevention are connected to everyday foot protection.

Who may benefit

A clear assessment helps identify the right pathway.

A wound that is not improving deserves a clear assessment of its cause, blood supply, pressure and infection risk rather than repeated dressings alone.

01How the plan is built

02Treatment options are selected, not assumed

03Follow-up matters

How the pathway works

Understand the care before it begins.

Care considers wound cause, depth, tissue condition, infection risk, circulation, pressure, nutrition and the surrounding skin before selecting an appropriate pathway. Some wounds need a change in the cause of pressure or blood flow before they can heal.

01

Treatment options are selected, not assumed

02

Follow-up matters

What to expect

Treatment is reviewed as needs change.

01

Assess

Depending on the assessment, the care plan may include debridement, selected dressings, negative pressure wound therapy, pressure management, skin-grafting assessment, specialist adjunctive options or referral coordination. Any adjunctive option is considered alongside appropriate standard wound care and only when clinically appropriate.

02

Plan

Healing is monitored over time with regular review of wound progress, skin protection and warning signs. Plans change when the wound or a person’s overall health changes.

03

Provide care

The clinician explains the next step in the context of your findings.

04

Follow up

The clinician explains the next step in the context of your findings.

Treatment modules

Practical care, explained clearly.

01

Treatment options are selected, not assumed: Depending on the assessment, the care plan may include debridement, selected dressings, negative pressure wound therapy, pressure management, skin-grafting assessment, specialist adjunctive options or referral coordination. Any adjunctive option is considered alongside appropriate standard wound care and only when clinically appropriate.

02

Follow-up matters: Healing is monitored over time with regular review of wound progress, skin protection and warning signs. Plans change when the wound or a person’s overall health changes.

Protect your feet between reviews.

Keep changes protected, avoid unadvised self-treatment and seek advice if symptoms worsen or do not improve.

The next step should be clear.

A timely assessment helps match care to the diagnosis, risk and practical needs of the person.

Common questions

When should I seek medical advice?+

A new wound, spreading redness, swelling, discharge, odour, colour change, or a hot, cold or painful foot should be assessed promptly. If you feel very unwell, seek urgent or emergency care.

How is the right pathway chosen?+

A clinician considers the diagnosis, symptoms, skin or wound, sensation, circulation, pressure, footwear, medical history and your goals before recommending next steps.

What should I bring to an appointment?+

Bring recent reports, a medication list, details or photographs of changes over time and your usual footwear when relevant.

Continue the care journey

The right next step depends on the clinical picture.

Explore the related pathways that may be discussed after assessment.

Make an appointment

Find the right next step for advanced wound care.

Our team can help you understand what needs assessment and what information to bring. Diagnosis and treatment depend on an in-person review.

Specialist assessmentClear next stepsIndividual care planning
Dr. A. Nirupan Chakkaravarthy, Consultant Podiatrist and Diabetic Foot Care Specialist

Dr. A. Nirupan Chakkaravarthy

Consultant Podiatrist · Limb Salvage Specialist

This guide is for general education and does not replace an in-person assessment.