Most wounds heal without drama. Some do not, and the difference is usually whether someone assessed the wound, chose the right dressing and reviewed it on schedule.
What a nurse does
- Assesses the wound: size, depth, tissue type, exudate, surrounding skin.
- Cleans and dresses it using an appropriate product.
- Checks for signs of infection and poor healing.
- Documents the progress and escalates if it is not improving.
- Liaises with the GP or treating team.
A support worker can change a simple dressing if trained and authorised, but a wound that is not healing needs a nurse.
Signs to call about
- Increasing pain, redness, heat or swelling.
- Pus or a foul smell.
- Red streaks spreading from the wound.
- Fever or feeling unwell.
- The wound opening, or tissue that looks black or yellow.
- No improvement after a week of treatment.
Call your GP, the treating team or NURSE-ON-CALL. If you are very unwell, call 000.
What to have ready
- The wound care plan from the hospital or GP.
- The dressings and solutions the plan specifies.
- A medication list, including blood thinners.
- A clean, well-lit space with a table at waist height.
- Hand soap and a bin.
What not to do
Do not reuse dressings. Do not apply antiseptic or powder that was not prescribed. Do not pick at a scab or a staple. Do not delay a review because the wound "looks the same".
Do not let a dressing stay on longer than the plan says because the appointment did not happen. Call and ask.
Photograph the wound, with consent
A dated photo helps a clinician see whether it is improving. Ask before taking it, and keep it private. Do not send it to a random number or a group chat.
Scars and healing
Once closed, a scar benefits from moisturiser, sun protection and gentle movement. Ask the treating team when it is safe to massage or exercise the area. Do not rush it.
Common questions
Can a carer change my dressing?
Only if trained and authorised, and only for a simple wound with a written plan. Complex wounds need a nurse.
How often should a dressing be changed?
Follow the plan. Frequency depends on the dressing and the wound.
What if the wound smells?
Call the GP or nurse the same day. A smell can indicate infection.
Can I shower with a dressing?
Ask the nurse. It depends on the dressing and the wound.
Is wound care covered by Medicare?
Some community nursing is, through specific programs. Ask your GP.
Sources and further reading
This guide is general information, not medical, legal or financial advice. If you are worried about your health, call your GP. In an emergency, call 000.