Nursingmiddle twist
A 71-year-old woman attends a community nursing service with a shallow ulcer above the left medial malleolus present for 8 weeks. The surrounding skin is brown-stained, the leg becomes swollen by evening, and the ulcer bed is granulating with moderate straw-coloured exudate. Pedal pulses are palpable and the ankle-brachial pressure index is 0.95. There is no surrounding redness or warmth and pain is minimal. Which one of the following is the most appropriate management?