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Medical Interventions: Optimize glycemic control (coordinate with primary care/endocrinology) Manage hypertension, lipids, and PAD (vascular specialist referral) Smoking cessation counseling and support Nutritional assessment (dietitian referral) Wound Care: Regular wound cleansing and dressing changes by a wound care nurse Monitor for infection or signs of deterioration Vascular assessment before debridement Allied Health & Support: Physical therapy for mobility and offloading education Social work assessment for home support if needed Patient Education: Wound care techniques at home Signs of infection to report promptly Importance of blood sugar, blood pressure, and cholesterol control Smoking cessation resources Foot care and injury prevention Follow-Up: Weekly wound assessments Reassess dressing plan as wound progresses 5