How do you weigh the risk of urinary catheter or fecal management system placement with that of soiling sacral wounds?   

This question is an important question that arises for many of our bed-bound and poorly mobile patients, as sacral wounds commonly develop due to pressure injury. They become very challenging to treat due to fecal and urinary contamination, which can lead to further infection. Fecal and urinary dive...

Yes, if there is likely fecal contamination, I think a rectal tube is a good way of trying to prevent as much soiling of the decubitus as possible. I will add a Foley catheter to prevent a bedbound patient from having wet liquid, making it even more difficult for the decubitus to heal. A wet vac to ...