Certified Wound Ostomy Nurse (CWON) Practice Test

What is a notable limitation of total contact casting?

1. Expensive and cost-prohibitive

2. Can lead to infection

3. Requires high clinician proficiency

4. Easy to apply and remove

The correct answer is: Requires high clinician proficiency

Total contact casting is an effective method for treating diabetic foot ulcers and other lower extremity wounds because it redistributes pressure across the foot, promoting healing. However, one notable limitation is that it requires high clinician proficiency for proper application. This proficiency is crucial because the casting must be applied correctly to ensure even distribution of pressure and to avoid complications such as skin breakdown or inadequate healing. An improperly applied cast may not provide the anticipated benefits and could even exacerbate existing issues. In experienced hands, total contact casting can be very beneficial, but it is essential to have skilled clinicians who understand both the technical aspects of casting and the patient’s specific needs. This requirement can hinder its widespread use in settings where such expertise is lacking, making clinician proficiency a critical factor in the success of this treatment modality.